| NPI | 1568182335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH DEAVILLE Owner 661-816-8436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2022-09-14 |