| NPI | 1346677192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TALAVERA BOLONG Officer 562-434-9932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 198204399) |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2013-10-10 |