| NPI | 1518407113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANIE HEFNER Administrator 909-793-0433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 360902129) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |