| NPI | 1962134197 |
|---|---|
| Doing Business As | CANYON GUEST HOME |
| Entity Type | Organization |
| Authorized Contact | DAN RAPHAEL Owner/Licensee 858-285-0811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2022-06-27 |