| NPI | 1134550551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN AMADOR President 858-571-7016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: CA 31135) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2013-12-11 |