Organization
4607 EAST CALIFORNIA ABL I OPERATIONS LLC
Active
Other names
Vincent Victoria Village
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON E QUICK CFO (AUTHORIZED REPRESENTATIVE)
(817) 475-3521
Entity
Organization
Contact information
Practice address
4607 E CALIFORNIA PKWY, FOREST HILL, TX 76119-7571
(817) 247-8259
(817) 534-6974
Mailing address
11766 WILSHIRE BLVD STE 1460, LOS ANGELES, CA 90025-6874
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/11/2022
Last updated
08/10/2023
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