| NPI | 1194192997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA LOLITA WINSTON Administrator 415-748-2054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 347005316) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |