Organization
DAISY SPRINGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEHRUNNISA LATIF (LICENSEE / ADMINISTRATOR)
(909) 272-2998
Entity
Organization
Contact information
Practice address
6749 REGAL PARK DR, FONTANA, CA 92336-5503
(909) 320-7320
Mailing address
6749 REGAL PARK DR, FONTANA, CA 92336-5503
(909) 320-7320
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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