NPI | 1255509378 |
---|---|
Entity Type | Organization |
Authorized Contact | GAYE GRIFFIN Administrator 323-295-6744 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 197607263) |
Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: CA 197607263) |
Enumeration Date | 2008-02-11 |
Last Update Date | 2008-03-01 |