| NPI | 1063693240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE MITCHELL Executive Director 661-398-8260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: CA LTC60568F) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2007-11-16 |