NPI | 1356599518 |
---|---|
Entity Type | Organization |
Authorized Contact | NESTOR FABROS DOMINGO Administrator 626-335-0204 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: CA 060000699) |
Enumeration Date | 2008-08-29 |
Last Update Date | 2008-08-29 |