| NPI | 1922488774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE ROBLES GASATAYA Administrator/Owner 310-855-4862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NV NVN4241AGC) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-10 |