| NPI | 1619047305 |
|---|---|
| Doing Business As | TERESITA AND MARIO CABACUNGAN |
| Entity Type | Organization |
| Authorized Contact | TERESITA ARCENA CABACUNGAN Owner 562-673-3214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: AZ ALH-4384) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: AZ ALH-5308) |
| 311ZA0620X Custodial Care Facility Adult Care Home (Licence: AZ ALH6365) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2008-05-31 |