Organization
DULCE VILLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRUPTI NIKUL MODY (ADMINISTRATOR)
(909) 636-7848
Entity
Organization
Contact information
Practice address
66171 S AGUA DULCE DR, DESERT HOT SPRINGS, CA 92240-8111
(909) 636-6852
Mailing address
14725 MOLISE CT, CHINO HILLS, CA 91709-4398
(909) 636-7848
(760) 251-4606
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
331800167
CA
Other
Enumeration date
05/18/2018
Last updated
09/26/2018
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