| NPI | 1205670668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN STEVEN HAVSGAARD Owner 951-580-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-06-20 |