| NPI | 1669022547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEENA ROSS VALETE Owner/ Administrator 818-644-2187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2025-06-25 |