| NPI | 1144308495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHONA B BAUTISTA Business Office Manager 909-373-3766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 240000149) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |