| NPI | 1255786448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EYOB KEBEDE Vice President 714-803-4399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 306004126) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: CA 306001456) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |