Del Rosa Villa, Llc

NPI 1235130915 - Nursing Facility/Intermediate Care Facility - 313M00000X

NPI Details
NPI 1235130915
Enumeration Date 08/03/2005
Last Updated 03/05/2015
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name ELIZABETH PLOTT ELIZABETH
Position VICE PRESIDENT OF OPERATIONS
Phone (909) 885-3261
Fax (909) 888-3871
Practice Location
2018 DEL ROSA AVE
SAN BERNARDINO CA, 92404-5642, US
Phone (909) 885-3261
Fax (909) 888-3871
Business Location
5455 WILSHIRE BLVD
SUITE 1925
LOS ANGELES CA, 90036-4201, US
Phone (323) 655-6960
Fax (323) 655-7122
Toxanomy
Taxonomy Code 313M00000X
License State California
License Number 240000029
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According to our database, Del Rosa Villa, Llc NPI is 1235130915, taxonomy code is 313M00000X and license number is 240000029, license state is located at California. Del Rosa Villa, Llc physically located at 2018 Del Rosa Ave, San Bernardino CA, 92404-5642. NPI Number 1033115704 has the healthcare provider type.

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1235130915 NPI number is provided on an as is basis without warranty of any kind. 1235130915 is maintained by the National Plan & Provider Enumeration System. The contents of Del Rosa Villa, Llc are for informational purposes only.