| NPI | 1407230246 |
|---|---|
| Doing Business As | ATWATER VILLAGE SOUTH |
| Entity Type | Organization |
| Authorized Contact | BORIS SKUTATOVICH President 323-610-2841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 197608929) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2018-06-20 |