NPI | 1891000360 |
---|---|
Doing Business As | ARBOR VISTA RETIREMENT HOME |
Entity Type | Organization |
Authorized Contact | MARK DOUGLAS HAMILTON Administrator 626-794-4103 |
Organization Subpart ? | No |
Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 197602925) |
Enumeration Date | 2010-08-09 |
Last Update Date | 2010-08-09 |