| NPI | 1649627423 |
|---|---|
| Doing Business As | THE PALAZZO |
| Entity Type | Organization |
| Authorized Contact | TRACY L. CLARK Authorized Representative 310-337-1929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AZ NCI-2694) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: AZ AL10014C) |
| 310400000X Assisted Living Facility (Licence: AZ AL10013C) | |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2017-01-04 |