| NPI | 1801108162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALAN SULLINS Administrator 805-451-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 425801607) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: CA 425801439) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2010-07-02 |