Organization
BUENA VISTA AL, LLC
Active
Organization
BUENA VISTA AL, LLC
Active
Other names
Buena Vista Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
RODDY RADNIA (MANAGER)
(310) 435-0797
Entity
Organization
Contact information
Practice address
1393 S BUENA VISTA ST, HEMET, CA 92543-7660
(951) 658-5160
Mailing address
8306 WILSHIRE BLVD # 135, BEVERLY HILLS, CA 90211-2304
(310) 435-0797
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
331880902
CA DEPARTMENT OF SOCIAL SERVICES
CA
Enumeration date
06/19/2020
Last updated
06/19/2020
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