| NPI | 1063697829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRNA QUE DESCARGAR Licensee/Administrator 916-714-0853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 347001937) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: CA 347000538) |
| Enumeration Date | 2007-12-29 |
| Last Update Date | 2008-06-23 |