| NPI | 1316499536 |
|---|---|
| Doing Business As | ASSISTED LIVING-RCFE/HOSPICE |
| Entity Type | Organization |
| Authorized Contact | ANGELO SWANSON GALASINAO Licensee And Administrator 909-799-3170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 366410695) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2017-01-27 |