D' Vine Home
NPI #1417275967 in Hesperia, California
Provider Information
- NPI Number
- 1417275967
- Entity Type
- Organization
- Organization Name
- D' Vine Home
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- GLECO LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- May 7, 2010
- Last Updated
- May 7, 2010
Practice Location
- Address
- 16123 VINE ST
- City
- Hesperia
- State
- California
- ZIP Code
- 92345-3113
- Phone
- (760) 981-4595
Authorized Official
- Name
- MRS. CONCEPCION GABRIEL PANOPIO
- Title
- ADMINISTRATOR
- Phone
- (760) 371-5153
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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