| NPI | 1982485629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KING Owner/Manager 916-858-9780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2024-03-13 |