| NPI | 1497386569 |
|---|---|
| Doing Business As | NATHAN'S HOME |
| Entity Type | Organization |
| Authorized Contact | MATTHEW ULIT Owner 714-227-7835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |