Organization
MAINSTREAM LIFESTYLES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE VON DEAUXPLETTE (CEO)
(951) 333-4893
Entity
Organization
Contact information
Practice address
11206 RAYMOND RD, MORENO VALLEY, CA 92555-6589
(951) 333-4893
Mailing address
1887 BUSINESS CENTER DR # 6A, SAN BERNARDINO, CA 92408-3463
(951) 333-4893
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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