# DAVID KLEIS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Beaumont Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700867389
- **Authorized official:** MR. JUMER E ROQUE (ADMINISTRATOR)
- **Authorized official phone:** (951) 845-1166

## Contact information

- **Practice address:** 1441 MICHIGAN AVE, BEAUMONT, CA 92223-1728
- **Practice address phone:** (951) 845-1166
- **Practice address fax:** (951) 845-1791
- **Mailing address:** 1441 MICHIGAN AVE, BEAUMONT, CA 92223-1728
- **Mailing address phone:** (951) 845-1166
- **Mailing address fax:** (951) 845-1791

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | CA | Yes |

## Other

- **Enumeration date:** 11/09/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC55135K | — | CA |