Organization
ACACIA GUEST HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKLYN LEE (OWNER)
(626) 541-5921
Entity
Organization
Contact information
Practice address
1847 ACACIA HILL RD, DIAMOND BAR, CA 91765-2942
(626) 541-5921
Mailing address
1847 ACACIA HILL RD, DIAMOND BAR, CA 91765-2942
(626) 541-5921
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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