Everlast Assisted Living LLC
NPI #1447018262 in Lake Elsinore, California
Provider Information
- NPI Number
- 1447018262
- Entity Type
- Organization
- Organization Name
- Everlast Assisted Living LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 7, 2024
- Last Updated
- Jan 9, 2025
Practice Location
- Address
- 30045 AUDELO ST
- City
- Lake Elsinore
- State
- California
- ZIP Code
- 92530-7342
- Phone
- (909) 816-5016
Authorized Official
- Name
- SOPHEAREAK LANGI
- Title
- CEO
- Phone
- (909) 816-5016
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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