| 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 |