| NPI | 1891227120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONORA TOLEDO PULLIN Administrator 619-267-3625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: CA 374602747) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |