NPI | 1518330190 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN HEYDT Chief Executive Officer 714-456-2986 |
Organization Subpart ? | Yes |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2015-11-04 |
Last Update Date | 2015-11-04 |