Organization
SIERRA PINE GUEST HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBRAHEEM H HAMED (ADMINISTRATOR)
(786) 564-3771
Entity
Organization
Contact information
Practice address
5051 LA SIERRA AVE, RIVERSIDE, CA 92505-2613
(786) 564-3771
Mailing address
7159 HAZELWOOD WAY, FONTANA, CA 92336-1659
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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