| NPI | 1093188492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HEYDT Chief Executive Officer 714-456-2986 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2015-11-06 |