NPI | 1457051419 |
---|---|
Former Legal Business Name | LIGHT OF VICTORY ASSISTED LIVING |
Entity Type | Organization |
Authorized Contact | JUDITH C ORJI Administration 909-461-0040 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Enumeration Date | 2023-03-08 |
Last Update Date | 2023-03-08 |