| NPI | 1821704065 |
|---|---|
| Doing Business As | CARSON GUEST HOME |
| Entity Type | Organization |
| Authorized Contact | CORAZON T RESURRECCION Licensee / Administrator 310-986-7613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-01-30 |