| NPI | 1376056002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM SUTTON Director 619-201-5888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 374602417) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |