| NPI | 1235402850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISPINA LUMBANG DE ALA Licensee 916-682-5409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 340314985) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-13 |