Organization
EVERLAST ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHEAREAK LANGI (CEO)
(909) 816-5016
Entity
Organization
Contact information
Practice address
30045 AUDELO ST, LAKE ELSINORE, CA 92530-7342
(909) 816-5016
Mailing address
30045 AUDELO ST, LAKE ELSINORE, CA 92530-7342
(909) 816-5016
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
01/09/2025
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