Organization
EASTLAKE VILLA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEXLIER CASAS GO (ADMINISTRATOR)
(213) 400-4341
Entity
Organization
Contact information
Practice address
591 ARLENE DR, WATSONVILLE, CA 95076-3518
(831) 228-1207
(831) 851-0080
Mailing address
591 ARLENE DR, WATSONVILLE, CA 95076-3518
(831) 228-1207
(831) 851-0080
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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