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 |