| NPI | 1497541288 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 198602995) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: CA 198602994) |
| 310400000X Assisted Living Facility (Licence: CA 198603666) | |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-04-17 |