| NPI | 1184312910 |
|---|---|
| Doing Business As | THE MANOR |
| Entity Type | Organization |
| Authorized Contact | DENNIS G WILDER Licensee 310-560-2701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2023-04-28 |