| NPI | 1659269165 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | KESHA NICOLE RICHARDSON Owner 661-860-5048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2025-06-24 |
| Last Update Date | 2025-06-24 |