| NPI | 1245733526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACY FADDOUL President 949-682-5229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 306005453) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2022-09-24 |