| NPI | 1912357120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMELIA D ALADIN President 909-532-3623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| 385H00000X Respite Care | |
| Enumeration Date | 2016-06-18 |
| Last Update Date | 2016-06-18 |