| NPI | 1518324375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL RENE O'NEAL-KANNEPALLI Chief Executive Officer 661-857-0326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-01-25 |