Yellowtail Home Care LLC
Assisted Living Facility in Antelope, CA. Organization (NPI-2).
NPI number1316632771
StatusActive
Last updated in NPPESApr 10, 2023
Details
- NPI
- 1316632771
- Entity type
- Organization (NPI-2)
- Legal business name
- Yellowtail Home Care LLC
- Organization subpart
- No
- Enumeration date
- Apr 10, 2023
- Certification date
- Apr 10, 2023
- Last updated
- Apr 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Other names
- Yellowtail Home Care (Doing Business As)
Practice location
8513 Yellowtail WayAntelope, CA 95843-4951
Phone 916-868-4236
Mailing address
8161 Chimango CtAntelope, CA 95843-5332
Phone 916-868-4236
Authorized official
Ying Liu
Administrator
9168684236
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