Organization
MINONA GARDEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH COLUNGA (OWNER)
(909) 285-7878
Entity
Organization
Contact information
Practice address
22854 MINONA DR, GRAND TERRACE, CA 92313-5162
(909) 285-7878
Mailing address
22854 MINONA DR, GRAND TERRACE, CA 92313-5162
(909) 285-7878
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310400000X
—
CA
Enumeration date
11/12/2025
Last updated
11/12/2025
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