| NPI | 1548523806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD D BOYER Administrator 760-580-8575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: CA 374602941) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2012-06-21 |