| NPI | 1295113819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE C. HOLLAND Managing Member 916-996-6215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: CA 107206884) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |