Foothill Serenity Living LLC
NPI #1023885910 in Fontana, California
Provider Information
- NPI Number
- 1023885910
- Entity Type
- Organization
- Organization Name
- Foothill Serenity Living LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Dec 11, 2023
- Last Updated
- Dec 11, 2023
Practice Location
- Address
- 8024 REDWOOD AVE
- City
- Fontana
- State
- California
- ZIP Code
- 92336-1640
- Phone
- (909) 371-3966
Authorized Official
- Name
- MARYDES A GUEVARRA
- Title
- SOLE LLC MEMBER
- Phone
- (213) 618-0938
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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