| NPI | 1275289589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY K. KIILU Owner/Manager 909-441-9520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-02-24 |