| NPI | 1164952545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN TSIMOGIANIS President 760-565-9304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: CA 366426090) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2022-07-21 |