| NPI | 1588154116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRUPTI NIKUL MODY Administrator 909-636-7848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 331800167) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-09-26 |