NPI | 1659143006 |
---|---|
Doing Business As | CROMWELL HAVEN |
Entity Type | Organization |
Authorized Contact | PERCIVAL TOBIAS Licensee 925-470-9712 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Enumeration Date | 2023-10-27 |
Last Update Date | 2023-10-27 |