| NPI | 1366828766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JANE SUNGA ANDRES President/Licensee 559-916-3658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 107206562) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: CA 107206561) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |