Organization
ABUNDANT LIFE ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUIANNA STREET (LICENSEE)
(310) 696-9555
Entity
Organization
Contact information
Practice address
1201 W 75TH ST, LOS ANGELES, CA 90044-2405
(310) 926-7574
Mailing address
7252 ARCHIBALD AVE # 543, RANCHO CUCAMONGA, CA 91701-5017
(310) 926-7574
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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