| NPI | 1376300145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON COOPER-EDISON Owner Administrator Licensee 661-829-7836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-02-28 |