| NPI | 1538902077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAQUITA WHITESIDE Director/Administrator 310-892-5120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 311Z00000X Custodial Care Facility | |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-06-13 |