| NPI | 1407462104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINTY DILLON CEO 661-215-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2024-04-18 |