| NPI | 1184207623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERLITA DE LA CRUZ SIMAN Owner / Administrator 909-731-0212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2021-05-03 |