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 |