| NPI | 1326580127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEENA CASSANDRA KENNEDY Administrator 650-289-8059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: WA 752903) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |