| NPI | 1093086126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYLENE S BENIGNO-PEREZ Licensee/Administrator 916-479-4945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 347003096) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-01-20 |