| NPI | 1295380467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE TENG Nursing Administrator Manager 951-850-1088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 376G00000X Nursing Home Administrator |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2021-11-23 |