| NPI | 1114463163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JCTHY WISDOM M OBTINALLA Rcfe Administrator, President,Owner 916-801-8917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 347005727) |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2017-01-16 |