# FOOTHILL SERENITY LIVING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Foothill Serenity Living
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023885910
- **Authorized official:** MARYDES A GUEVARRA (SOLE LLC MEMBER)
- **Authorized official phone:** (213) 618-0938

## Contact information

- **Practice address:** 8024 REDWOOD AVE, FONTANA, CA 92336-1640
- **Practice address phone:** (909) 371-3966
- **Mailing address:** 235 CHESTNUT AVE, LOS ANGELES, CA 90042-3735
- **Mailing address phone:** (213) 618-0938
- **Mailing address fax:** (213) 618-0938

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/11/2023
- **Last updated:** 12/11/2023