Organization
FOOTHILL SERENITY LIVING LLC
Active
Other names
Foothill Serenity Living
Organization subpart
No
Provider details
NPI number
Authorized official
MARYDES A GUEVARRA (SOLE LLC MEMBER)
(213) 618-0938
Entity
Organization
Contact information
Practice address
8024 REDWOOD AVE, FONTANA, CA 92336-1640
(909) 371-3966
Mailing address
235 CHESTNUT AVE, LOS ANGELES, CA 90042-3735
(213) 618-0938
(213) 618-0938
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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