Organization
AVISTA SENIOR LIVING MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLASIA LEE-LOLE (EXECUTIVE DIRECTOR)
(951) 737-1600
Entity
Organization
Contact information
Practice address
737 MAGNOLIA AVE, CORONA, CA 92879-3168
(951) 737-1600
Mailing address
737 MAGNOLIA AVE, CORONA, CA 92879-3168
(951) 737-1600
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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