Organization
FAMOUS HOUSE
Active
Organization
FAMOUS HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FEDELIA DIAZ (LICENSEE)
(951) 943-6049
Entity
Organization
Contact information
Practice address
26690 MCCLURE CT, PERRIS, CA 92571-8734
(951) 943-6049
Mailing address
26690 MCCLURE CT, PERRIS, CA 92571-8734
(951) 943-6049
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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