| NPI | 1245610989 |
|---|---|
| Doing Business As | EASTLAKE TERRACE |
| Entity Type | Organization |
| Authorized Contact | DANNY PROSKY Authorized Representative 949-270-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |