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Individual provider · Assisted Living Facility · Wilton, CA

NPI

1902732829

Type

Individual (Type 1)

Primary specialty

Assisted Living Facility

Specialty group

Nursing & Custodial Care Facilities

Taxonomy code

310400000X

License number

340318075 (CA)

Sex

Female

Sole proprietor

Yes

Enumerated

2026-06-18

Last updated

2026-06-18