Eagle Crest Assisted Living Home, LLC
NPI #1558140095 in Winchester, California
Provider Information
- NPI Number
- 1558140095
- Entity Type
- Organization
- Organization Name
- Eagle Crest Assisted Living Home, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Sep 25, 2023
- Last Updated
- Sep 25, 2023
Practice Location
- Address
- 35111 TAVEL ST
- City
- Winchester
- State
- California
- ZIP Code
- 92596-4512
- Phone
- (951) 484-5960
Authorized Official
- Name
- LATONIA WILSON
- Title
- LICENSEE
- Phone
- (951) 484-5960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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