Desert Horizon Residential Care
Assisted Living Facility in Victorville, CA. Organization (NPI-2).
NPI number1164045803
StatusActive
Last updated in NPPESMay 28, 2020
Details
- NPI
- 1164045803
- Entity type
- Organization (NPI-2)
- Legal business name
- Desert Horizon Residential Care
- Organization subpart
- No
- Enumeration date
- May 28, 2020
- Certification date
- May 28, 2020
- Last updated
- May 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Practice location
15952 Condor RdVictorville, CA 92394
Phone 760-953-5286
Mailing address
15952 Condor RdVictorville, CA 92394
Phone 760-953-5286
Authorized official
Angela Shattles-Breedlove
Administrator
7609535286
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