| NPI | 1194121129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADINA NITU Administrator 916-704-0328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 347005281) |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2015-04-02 |