| NPI | 1699555334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA DOMPREH-MENSAH Licensee/Administrator 562-774-6297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-12 |