Eastlake Villa INC
NPI #1104681600 in Watsonville, California
Provider Information
- NPI Number
- 1104681600
- Entity Type
- Organization
- Organization Name
- Eastlake Villa INC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Feb 14, 2024
- Last Updated
- Feb 14, 2024
Practice Location
- Address
- 591 ARLENE DR
- City
- Watsonville
- State
- California
- ZIP Code
- 95076-3518
- Phone
- (831) 228-1207
Authorized Official
- Name
- MR. DEXLIER CASAS GO
- Title
- ADMINISTRATOR
- Phone
- (213) 400-4341
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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