NPI | 1366253320 |
---|---|
Doing Business As | ALTAMESE FAMILY HOME AT IDA ST |
Entity Type | Organization |
Authorized Contact | JOHN MITCHELL Administrator 909-919-4397 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2025-01-17 |
Last Update Date | 2025-01-17 |