| NPI | 1730805599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN V NGUYEN CEO/President 818-367-1947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2023-11-17 |