| NPI | 1720690217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE G HOLCOMB Manager 951-836-8288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |