| NPI | 1528419207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA SERAPIO KHOLOMA Administrator/Licensee 714-300-8055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 306004810) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2016-06-24 |