| NPI | 1225430580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD BROOK Principal Manager 619-246-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 374603297) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |