| NPI | 1447404843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACIE ANN BRATCHER Lvn/Care Giver 951-681-2259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2008-11-12 |