NPI | 1285162834 |
---|---|
Doing Business As | WESTSIDE MANOR |
Entity Type | Organization |
Authorized Contact | ALLA NEYMAN Chief Executive Officer 310-435-0696 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: CA 198600525) |
Enumeration Date | 2017-05-26 |
Last Update Date | 2017-05-26 |