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 |