| NPI | 1124262134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA BLANCAFLOR DEMONTEVERDE License/Administrator/Owner 805-696-6473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 425800776) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2009-04-22 |