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Organization

GERI-CARE VI, LLC

Active
Other names
Antelope Valley Retirement Manor
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ELENITA PEREZ (ADMINISTRATOR)
(661) 949-5584
Entity
Organization

Contact information

Practice address
44523 15TH ST W, LANCASTER, CA 93534-2847
(661) 949-5584
(661) 949-5807
Mailing address
44523 15TH ST W, LANCASTER, CA 93534-2847
(661) 949-5584
(661) 949-5807

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
191200705
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
191200705
LICENSE NUMBER
CA
Enumeration date
04/22/2008
Last updated
04/22/2008
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