| NPI | 1497472757 |
|---|---|
| Doing Business As | SUPERCARE GUEST HOME |
| Entity Type | Organization |
| Authorized Contact | DIOSDADO DE LEON CEO 714-244-5885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2022-10-26 |