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Organization
AT AWE LLC
Active
Organization
AT AWE LLC
Active
Other names
At Awe Congregate Living Health Facility
Organization subpart
No
Provider details
NPI number
Authorized official
ALVIN ADAMS (ADMINISTRATOR)
(323) 590-3403
Entity
Organization
Contact information
Practice address
10876 MORNING RIDGE DR, MORENO VALLEY, CA 92557-4202
(951) 214-2234
(951) 214-2234
Mailing address
10876 MORNING RIDGE DR, MORENO VALLEY, CA 92557-4202
(951) 214-2234
(951) 214-2102
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/22/2020
Last updated
10/10/2023
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