Portsmouth Senior Home LLC
NPI #1629948641 in Menifee, California
Provider Information
- NPI Number
- 1629948641
- Entity Type
- Organization
- Organization Name
- Portsmouth Senior Home LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Nov 5, 2025
- Last Updated
- Nov 5, 2025
Practice Location
- Address
- 28611 PORTSMOUTH DR
- City
- Menifee
- State
- California
- ZIP Code
- 92586-2658
- Phone
- (951) 309-1158
Authorized Official
- Name
- JAMIE FIDES LAO
- Title
- LICENSEE
- Phone
- (951) 309-1158
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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