| NPI | 1649031378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE LOUISE MAKINOSE Licensee/Administrator 661-390-8324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-01-19 |