Organization
KNOLLS WEST ASSISTED LIVING, LLC.
Active
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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