NPI | 1942434808 |
---|---|
Doing Business As | ATWATER VILLAGE SOUTH |
Entity Type | Organization |
Authorized Contact | TIMOTHY M COURY President 323-876-6370 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 197602580) |
Enumeration Date | 2009-05-07 |
Last Update Date | 2009-05-07 |