| NPI | 1790941714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER B. ILAGAN Administrator 909-822-5174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 366409921) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2008-07-29 |