Blind Moose LLC
NPI #1568236040 in Eastvale, California
Provider Information
- NPI Number
- 1568236040
- Entity Type
- Organization
- Organization Name
- Blind Moose LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Nov 14, 2023
- Last Updated
- Nov 14, 2023
Practice Location
- Address
- 12697 BURBANK RD
- City
- Eastvale
- State
- California
- ZIP Code
- 92880-3362
- Phone
- (562) 702-6922
Authorized Official
- Name
- MICHAEL AQUINO
- Title
- SOLE LLC MEMBER
- Phone
- (562) 702-6922
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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