| NPI | 1982877171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE E. CONRAD Administrator 805-226-0719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 405801274) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |