Organization
AGL VENTURES LLC
Active
Other names
MAJESTIC RESIDENTIAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA ELLAMIL-LEJARDE (PRESIDENT/ADMINISTRATOR)
(760) 345-5995
Entity
Organization
Contact information
Practice address
79790 BARCELONA DR, LA QUINTA, CA 92253-8818
(760) 345-5995
Mailing address
79790 BARCELONA DR, LA QUINTA, CA 92253-8818
(760) 345-5995
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
336423302
CA
Other
Enumeration date
02/11/2011
Last updated
02/11/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up