| NPI | 1164197000 |
|---|---|
| Doing Business As | WHOLESOME ELDERLY ON KIFSIA |
| Entity Type | Organization |
| Authorized Contact | CHRIS FAAMAUSILI Managing Member 916-970-2647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2024-12-03 |