| NPI | 1982496444 |
|---|---|
| Former Legal Business Name | EMERALD LIVING, LLC |
| Entity Type | Organization |
| Authorized Contact | EUNICE AMBAL Licensee/Administrator 619-888-2542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-05-20 |