| NPI | 1952279861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERMELINDA MARTINEZ SIEBENTHAL Owner/Administrator 916-670-4817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2025-10-23 |
| Last Update Date | 2025-10-24 |