| NPI | 1245654706 |
|---|---|
| Doing Business As | EDGEWATER RETIREMENT MANOR |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN A SMITH Managing Member 310-989-7992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 5149) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-04 |