Organization
BRASWELL'S CHATEAU VILLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANIE HEFNER (ADMINISTRATOR)
(909) 793-0433
Entity
Organization
Contact information
Practice address
620 E HIGHLAND AVE, REDLANDS, CA 92374-6231
(909) 793-0433
Mailing address
620 E HIGHLAND AVE, REDLANDS, CA 92374-6231
(909) 793-0433
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
360902129
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
360902129
CCLD
CA
Enumeration date
03/01/2017
Last updated
03/01/2017
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