Organization
LEWIS BAILEY RESIDENTIAL CARE FACILITY FOR THE ELDERLY L.L.C.
Active
Other names
Lewis Bailey Senior Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TARI LEWIS (OWNER/ADMINISTRATOR)
(951) 430-1921
Entity
Organization
Contact information
Practice address
26364 MALLORY CT, MENIFEE, CA 92584-3818
(951) 430-1921
(951) 430-4743
Mailing address
26364 MALLORY CT, MENIFEE, CA 92584-3818
(951) 430-1921
(951) 430-4743
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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