Organization
EVERLASTING HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDERSON BANGIS MUNOZ (CEO)
(818) 687-3830
Entity
Organization
Contact information
Practice address
1603 ROYWOOD DR, LANCASTER, CA 93535-6731
(818) 687-3830
(661) 418-0717
Mailing address
1603 ROYWOOD DR, LANCASTER, CA 93535-6731
(818) 687-3830
(661) 418-0717
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
550002981
CA
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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