Organization
ANTELOPE VALLEY MANOR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME VIRAY (ADMINISTRATOR)
(818) 332-6150
Entity
Organization
Contact information
Practice address
2801 HUSTON PL, LANCASTER, CA 93536-1803
(661) 726-1869
Mailing address
1716 ERRINGER RD STE 106, SIMI VALLEY, CA 93065-6527
(818) 332-6150
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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