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
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