La Fuente Lavender LLC
NPI #1093269946 in Fontana, California
Provider Information
- NPI Number
- 1093269946
- Entity Type
- Organization
- Organization Name
- La Fuente Lavender LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Aug 9, 2016
- Last Updated
- Aug 9, 2016
Practice Location
- Address
- 9545 TAMARIND AVE
- City
- Fontana
- State
- California
- ZIP Code
- 92335-5962
- Phone
- (909) 346-0292
Authorized Official
- Name
- MR. SOTERO CHANDLER RAMAS III
- Title
- PRESIDENT/CEO
- Phone
- (909) 346-0292
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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