Organization
HOLISTIC ASSISTED LIVING INC
Active
Other names
Hidesert Family Eldercare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRACE S MAGNAYE R.N (LICENSEE)
(661) 373-8147
Entity
Organization
Contact information
Practice address
6410 EL REPOSO ST, JOSHUA TREE, CA 92252-2340
(760) 366-3845
(760) 366-3945
Mailing address
6410 EL REPOSO ST, JOSHUA TREE, CA 92252-2340
(760) 366-3845
(760) 366-3945
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
366409076
CA
Other
Enumeration date
01/27/2011
Last updated
01/27/2011
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