| NPI | 1558717934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE P JIANG Licensee/Owner 626-679-6020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 197608840) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |