| NPI | 1356416283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY N BLAKE Owner 310-557-3788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: UT 2005-ALII-63901) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2008-04-20 |