| NPI | 1891200705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS MCQUAID Manager 949-231-9637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ AL10609H) |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |