| NPI | 1851075626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRMA GAWARAN LACONSAY CEO / President 858-610-8455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2023-06-13 |
| Last Update Date | 2023-06-13 |