| NPI | 1902273196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH RECHEL ROSALES Registered Dental Hygienist 949-328-7895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 564) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: CA 564) |
| 320700000X Residential Treatment Facility, Physical Disabilities (Licence: CA 564) | |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |