| NPI | 1588178081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN TIMBOL Licensee 323-868-9259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NV 49AGC-13) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2017-11-21 |