| NPI | 1366619504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BOLONG Administrator 562-428-5371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 197800131) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: CA 197800131) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2014-01-21 |