| NPI | 1083364004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORA KELLY Administrator 858-583-6431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2022-03-24 |