| NPI | 1619599503 |
|---|---|
| Doing Business As | ST. JOSEPH INDEPENDENT LIVING |
| Entity Type | Organization |
| Authorized Contact | SOON BURNAM Treasurer 949-540-1249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-20 |