NPI | 1720885593 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDE GONZALEZ Managing Member 818-636-5794 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2025-02-27 |
Last Update Date | 2025-02-27 |