| NPI | 1861118242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUNICE PAGULAYAN AMBAL President/CEO 619-888-2542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2022-10-17 |