| NPI | 1508173956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDRA G RAJ Licensee/Administrator 559-709-6241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 107202787) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2010-09-07 |