| NPI | 1124490792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN V NGUYEN Pres/Administrator/Dpcs 805-210-2194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2021-02-22 |