| NPI | 1235963950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL TABELLO Managing Member 562-858-1249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2024-08-27 |