| NPI | 1790015063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DENISE LOVE Licensee/Administrator 562-805-8799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 197607238) |
| Additional Taxonomies | 311Z00000X Custodial Care Facility (Licence: CA 197607238) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2010-01-11 |