| NPI | 1508564642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUKWUDI IKISEH Administrator For Assisted Living 209-283-8728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-02-17 |
| Last Update Date | 2023-02-17 |