Organization
BRASWELL'S MEDITERRANEAN GARDENS, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET PICCINATI (ADMINISTRATOR)
(909) 797-1131
Entity
Organization
Contact information
Practice address
12295 4TH ST, YUCAIPA, CA 92399-4120
(909) 797-1131
(909) 797-9821
Mailing address
12295 FOURTH ST, YUCAIPA, CA 92399
(909) 797-1131
(909) 797-2851
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
360900521
CA
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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