Organization
A AND M HOME CARE VILLA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIE ESAU HARRIS LVN (ADMINISTRATOR)
(661) 943-0021
Entity
Organization
Contact information
Practice address
6248 WEST AVENUE J-11, LANCASTER, CA 93536-1716
(661) 943-0021
(661) 943-9877
Mailing address
POB 2348, LANCASTER, CA 93539-2348
(661) 943-0021
(661) 943-9877
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
197607141
CA
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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