| NPI | 1962277087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE VAHAGN CFO 818-731-2988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282E00000X |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| 314000000X Skilled Nursing Facility | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 364SL0600X Clinical Nurse Specialist, Long-Term Care | |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2024-05-04 |