Organization
OAK FENCE SENIOR LIVING LLC
Active
Other names
Oak Fence Congregate Living Health Facility #2
Organization subpart
No
Provider details
NPI number
Authorized official
THAN T AYE (OWNER)
(909) 967-1872
Entity
Organization
Contact information
Practice address
6036 OAK FENCE LN, LANCASTER, CA 93536-1794
(909) 967-1872
Mailing address
6036 OAK FENCE LN, LANCASTER, CA 93536-1794
(909) 967-1872
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497140222
—
CA
Enumeration date
12/13/2019
Last updated
03/09/2023
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