| NPI | 1255573473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN LOOYSEN Owner 909-557-7496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2009-04-02 |