| NPI | 1174394753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA MARIE STONEHOCKER Lvn 818-807-0468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-01-11 |