Organization
ELNA CRISOSTOMO VILAFLOR DBA BANNER RIDGE COUNTY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELNA VILAFLOR (LICENSEE)
(909) 240-1899
Entity
Organization
Contact information
Practice address
1006 BANNER RIDGE RD, DIAMOND BAR, CA 91765-2301
(909) 240-1899
Mailing address
1006 BANNER RIDGE RD, DIAMOND BAR, CA 91765-2301
(909) 240-1899
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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