| NPI | 1073997946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORES JOHNSON Administrator 323-752-1467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 191801439) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |