| NPI | 1710766787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY JACOB Owner 323-864-3823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 311Z00000X Custodial Care Facility | |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2023-09-27 |