Organization
BRASWELL'S LEISURE MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET ERIN PICCINATI (ADMINISTRATOR)
(909) 797-1314
Entity
Organization
Contact information
Practice address
32195 AVENUE E, YUCAIPA, CA 92399-1797
(909) 797-1314
(909) 797-9321
Mailing address
32195 AVENUE E, YUCAIPA, CA 92399-1797
(909) 797-1314
(909) 797-9321
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
360900100
CA
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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