Organization
EXTENDED CARE PORTFOLIO CALIFORNIA TENANT LLC
Active
Other names
Sierra Vista Independent and Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK ISRANI (GENERAL MANAGER)
(619) 296-9000
Entity
Organization
Contact information
Practice address
13815 RODEO DRIVE, VICTORVILLE, CA 92395
(760) 243-2271
(760) 243-1711
Mailing address
13815 RODEO DRIVE, VICTORVILLE, CA 92395
(760) 243-2271
(760) 243-1711
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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