| NPI | 1083979116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEROSA C DIZON Manager 916-502-3008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 347004880) |
| Enumeration Date | 2012-07-04 |
| Last Update Date | 2012-07-04 |