| NPI | 1184194631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY SCOTT TILLMAN Administrator/ Manager 626-863-6349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2018-11-27 |