| NPI | 1295248466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENIE PINEDA Addministrator 858-842-7423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-026-067) |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2017-11-10 |