Organization
3FACES RANCH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJI RYKERT M.B.A. (BUSINESS MANAGER)
(310) 749-3737
Entity
Organization
Contact information
Practice address
2039 W AVENUE M12, PALMDALE, CA 93551-1710
(310) 749-3737
Mailing address
2851 W AVENUE L STE 313, LANCASTER, CA 93536-4022
(661) 480-0912
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
197609078
CA
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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