| NPI | 1851588727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRT HAMBURG Licensee/CEO 916-944-2077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 347001356) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2024-05-09 |