| NPI | 1093305849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIZARDE TORNO ESTRELLA Statutory Agent/Owner 667-231-9713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2023-08-18 |