NPI | 1184345514 |
---|---|
Doing Business As | BETTY'S PLACE |
Entity Type | Organization |
Authorized Contact | FLORETTA CRENSHAW Licensee 951-821-1291 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
Enumeration Date | 2022-09-05 |
Last Update Date | 2022-09-05 |