| NPI | 1902637705 |
|---|---|
| Former Legal Business Name | CORNERSTONE 20 GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | OFAANGA I STATEN COO 510-589-3747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-08-13 |