| NPI | 1942890306 |
|---|---|
| Doing Business As | CONVALARIUM AT INDIAN RUN |
| Entity Type | Organization |
| Authorized Contact | BRIAN HAZELBAKER Attorney 949-499-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2021-01-20 |