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Organization
BLESSFUL LAKE SENIOR CARE LLC
Active
Organization
BLESSFUL LAKE SENIOR CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELLIS RAY JONES (MANAGING MEMBER)
(760) 985-1583
Entity
Organization
Contact information
Practice address
14460 HURRICANE LN, HELENDALE, CA 92342-7793
(760) 985-1583
Mailing address
16082 WATO RD, APPLE VALLEY, CA 92307-7810
(760) 985-1583
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
01/01/2025
Last updated
01/01/2025
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