| NPI | 1104224153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN IRENE SORENSEN Administrator 619-590-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 374600950) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2015-12-21 |