Organization
CREST VILLA LLC
Active
Organization
CREST VILLA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OSCAR EMANUEL RAMASAR (CEO)
(909) 214-4004
Entity
Organization
Contact information
Practice address
4014 CALIFORNIA AVE, NORCO, CA 92860-1702
(951) 268-6040
Mailing address
PO BOX 7542, NORCO, CA 92860-8085
(909) 214-4004
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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