| NPI | 1124549613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMID M MONTAZER Manager 858-382-1568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: CA 374603202) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2023-08-21 |