| NPI | 1720376742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL BOMONGCAG Owner 650-580-7035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ AL6530H) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2011-07-11 |