| NPI | 1073890232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY PRYKO Administrator 805-845-1608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 425801755) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2011-11-15 |