| NPI | 1104357102 |
|---|---|
| Doing Business As | GOOD SHEPHERD VISTA |
| Entity Type | Organization |
| Authorized Contact | HASMIN KOO Managing Member 408-202-2236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 019200695) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |