| NPI | 1861197089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER TARABOCHIA Vice President, Compliance & Regula 360-213-1136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2023-04-05 |