| NPI | 1174514236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES GRAUNKE Executive Director 626-798-0934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 191202435) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: CA 970000091) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2020-08-22 |