| NPI | 1760067961 |
|---|---|
| Doing Business As | THE WATERLEAF AT LAND PARK |
| Entity Type | Organization |
| Authorized Contact | PAUL B CIMINO Administrator 916-606-8677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2021-03-10 |