| NPI | 1619292828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EULALIA VANN Facility Manager 562-432-1163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: CA 197803459) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-03-30 |