Braswell'S Mediterranean Gardens, LP
Assisted Living Facility in Yucaipa, CA. Organization (NPI-2).
NPI number1376901447
StatusActive
Last updated in NPPESFeb 4, 2016
Details
- NPI
- 1376901447
- Entity type
- Organization (NPI-2)
- Legal business name
- Braswell'S Mediterranean Gardens, LP
- Organization subpart
- No
- Enumeration date
- Feb 4, 2016
- Last updated
- Feb 4, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | 360900521 | CA | Yes |
Practice location
12295 4th StYucaipa, CA 92399-4120
Phone 909-797-1131 · Fax 909-797-9821
Mailing address
12295 Fourth StYucaipa, CA 92399
Phone 909-797-1131 · Fax 909-797-2851
Authorized official
Janet Piccinati
Administrator
9097971131
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All 6 Assisted Living Facility providers in Yucaipa · All 761 providers in Yucaipa
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