NPI | 1538625975 |
---|---|
Doing Business As | PURPOSEFUL RESIDENTIAL CARE: HAWK PLACE |
Entity Type | Organization |
Authorized Contact | ADONICA NELL VICKERS Administrator/Executive Assistant 661-378-3764 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
Additional Taxonomies | 251J00000X Nursing Care |
310400000X Assisted Living Facility | |
3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
314000000X Skilled Nursing Facility | |
385H00000X Respite Care | |
Enumeration Date | 2019-02-11 |
Last Update Date | 2024-01-27 |