Organization
KNOLLS WEST ASSISTED LIVING, LLC.
Active
Other names
Knolls West Assisted Living, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
TERRONSAY ELYSE WHALEY ADMINISTRATOR (ADMINISTRATOR)
(760) 245-0107
Entity
Organization
Contact information
Practice address
16890 GREEN TREE BLVD, VICTORVILLE, CA 92395-5618
(760) 245-0107
(760) 843-1861
Mailing address
16890 GREEN TREE BLVD, VICTORVILLE, CA 92395-5618
(760) 245-0107
(760) 843-1861
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
11/12/2024
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