Organization
VALLEY HEIGHTS RESIDENTIAL CARE, LLC
Active
Other names
Valley Heights Residential Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIVIAN IJEOMA UMEH RN (OWNER/ ADMINISTRATOR)
(857) 308-7000
Entity
Organization
Contact information
Practice address
2647 W AVENUE K4, LANCASTER, CA 93536-5369
(857) 308-7000
Mailing address
2647 W AVENUE K4, LANCASTER, CA 93536-5369
(857) 308-7000
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197610095
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES- COMMUNITY CARE LICENSING DIVISION
CA
Enumeration date
11/01/2021
Last updated
11/01/2021
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