Organization
DELLBROOK GUEST HOME II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLEY VANNOY (ADMIN)
(951) 847-5476
Entity
Organization
Contact information
Practice address
7121 MACKINAW CT, EASTVALE, CA 91752-1492
(951) 847-5476
Mailing address
7121 MACKINAW CT, EASTVALE, CA 91752-1492
(951) 847-5476
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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