| NPI | 1265186381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA GORDON Administrator 323-599-0269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-02-08 |