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Braswell'S Leisure Manor

Assisted Living Facility in Yucaipa, CA. Organization (NPI-2).

NPI number1609153402
StatusActive
Last updated in NPPESNov 8, 2011

Details

NPI
1609153402
Entity type
Organization (NPI-2)
Legal business name
Braswell'S Leisure Manor
Organization subpart
No
Enumeration date
Nov 8, 2011
Last updated
Nov 8, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility360900100CAYes

Practice location

32195 Avenue E
Yucaipa, CA 92399-1797

Phone 909-797-1314 · Fax 909-797-9321

Mailing address

32195 Avenue E
Yucaipa, CA 92399-1797

Phone 909-797-1314 · Fax 909-797-9321

Authorized official

Janet Erin Piccinati
Administrator
9097971314

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