Organization
MOONSTONE CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARMINDA BELTRAN LOPEZ (CEO)
(619) 398-5169
Entity
Organization
Contact information
Practice address
950 S WILLOW AVE, RIALTO, CA 92376-7845
(619) 398-5169
Mailing address
1731 MELROSE AVE UNIT 42, CHULA VISTA, CA 91911-6573
(619) 398-5169
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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