Everett Forest,llc
NPI #1316499536 in Loma Linda, California
Provider Information
- NPI Number
- 1316499536
- Entity Type
- Organization
- Organization Name
- Everett Forest,llc
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Nov 4, 2016
- Last Updated
- Jan 27, 2017
Practice Location
- Address
- 11350 POPLAR ST
- City
- Loma Linda
- State
- California
- ZIP Code
- 92354-3519
- Phone
- (909) 799-3170
Authorized Official
- Name
- ANGELO SWANSON GALASINAO, ADMINISTRATOR
- Title
- LICENSEE AND ADMINISTRATOR
- Phone
- (909) 799-3170
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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