Organization
BLC MIRAGE INN, L.P.
Active
Other names
Brookdale Mirage Inn
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA MUNOZ (ASSISTANT SECRETARY)
(414) 918-5443
Entity
Organization
Contact information
Practice address
72750 COUNTRY CLUB DR, RANCHO MIRAGE, CA 92270-4083
(760) 346-7772
Mailing address
72750 COUNTRY CLUB DR, RANCHO MIRAGE, CA 92270-4083
(760) 346-7772
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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