Ellis Cottage Assisted Living LLC
NPI #1902611585 in Menifee, California
Provider Information
- NPI Number
- 1902611585
- Entity Type
- Organization
- Organization Name
- Ellis Cottage Assisted Living LLC
- Primary Specialty
- Residential Treatment Facility, Physical Disabilities
- Enumeration Date
- Feb 11, 2025
- Last Updated
- Feb 11, 2025
Practice Location
- Address
- 28310 ELLIS AVE
- City
- Menifee
- State
- California
- ZIP Code
- 92585-9009
- Phone
- (951) 878-7027
Authorized Official
- Name
- DANTE BAUTISTA
- Title
- MANAGER
- Phone
- (951) 878-7027
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Physical Disabilities |
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