| NPI | 1174382857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY CHARLENE RENE ZACHERY Administrator 818-633-6220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2024-03-15 |