| NPI | 1689102493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID USVAT Licensee 530-434-0689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 342700037) |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2022-07-21 |