| NPI | 1427322304 |
|---|---|
| Doing Business As | LINDA ROSA GUEST HOME |
| Entity Type | Organization |
| Authorized Contact | EVELYN MORENO Owner/Licensee 323-254-3621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-02-24 |