| NPI | 1336786490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY WONG Lvn 510-390-8078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2023-08-03 |