| NPI | 1376130047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMINIA ZUEHL Licensee/Owner 949-683-8736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2020-12-28 |