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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