Organization
LJMP, LP
Active
Other names
Capri In The Desert
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANA KRIVITSKY (GENERAL PARTNER)
(661) 946-6508
Entity
Organization
Contact information
Practice address
44726 CERISA ST, LANCASTER, CA 93535-1705
(661) 946-6508
Mailing address
44726 CERISA ST, LANCASTER, CA 93535-1705
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
09/29/2011
Last updated
02/22/2012
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