| NPI | 1841048808 |
|---|---|
| Doing Business As | PLC 7117 MAIN |
| Entity Type | Organization |
| Authorized Contact | ROBERT J COLEMAN Liscensee 707-430-1608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-05-07 |
| Last Update Date | 2024-05-07 |