| NPI | 1972953156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY EVANS Administrator 760-261-4241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 366426751) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-06-17 |