| NPI | 1164285789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UNIQUE NOLDON Owner 323-542-4079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 251J00000X Nursing Care | |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| 315D00000X Hospice, Inpatient | |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |