| NPI | 1447882782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GONZALEZ Director Of Operations 323-475-1127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 251X00000X Supports Brokerage |
| 177F00000X Lodging | |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2022-02-09 |