| NPI | 1194168039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRNA DESCARGAR Licensee/Administrator 916-524-9612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 347005040) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2013-04-10 |