Organization
BLESSFUL LAKE SENIOR CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELLIS RAY JONES (MANAGING MEMBER)
(760) 985-1583
Entity
Organization
Contact information
Practice address
14460 HURRICANE LN, HELENDALE, CA 92342-7793
(760) 985-1583
Mailing address
16082 WATO RD, APPLE VALLEY, CA 92307-7810
(760) 985-1583
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/01/2025
Last updated
01/01/2025
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