| NPI | 1073767273 |
|---|---|
| Doing Business As | WILSHIRE VISTA MANOR |
| Entity Type | Organization |
| Authorized Contact | MICHELLE BROKHIM Owner 323-933-8271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: CA 197607392) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2008-11-14 |