| NPI | 1255880167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLA MASTOV Administarator 323-327-8554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 197608975) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |