| NPI | 1578211173 |
|---|---|
| Doing Business As | WYNGATE VILL AGARDENS |
| Entity Type | Organization |
| Authorized Contact | NIEVA MANZANO RUIZ CFO 213-200-8422 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2022-03-13 |
| Last Update Date | 2022-03-29 |