| NPI | 1366179863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN V NGUYEN CEO 818-642-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2023-11-17 |