| NPI | 1871037838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLAND WILSON Administrator 510-334-5042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 019200673) |
| Enumeration Date | 2016-12-10 |
| Last Update Date | 2016-12-10 |