| NPI | 1962749333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REMA P STOUT General Partner 916-421-5845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 340306720) |
| Enumeration Date | 2013-01-05 |
| Last Update Date | 2013-01-05 |