| NPI | 1891197687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE GEYEN Director 323-291-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: CA 000221836600017) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2014-09-23 |