Individual
MRS. ELNA C VILLAFLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADMINISTRATOR
Contact information
Practice address
1809 LEANING PINE DR, DIAMOND BAR, CA 91765-2740
(909) 860-2538
(909) 860-5628
Mailing address
1142 S DIAMOND BAR BLVD # 336, DIAMOND BAR, CA 91765-2203
(909) 860-2538
(909) 860-5628
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
197606472
CA
310400000X
Assisted Living Facility
Primary
197801279
CA
310400000X
Assisted Living Facility
197801933
CA
310400000X
Assisted Living Facility
336407270
CA
Other
Enumeration date
02/27/2015
Last updated
02/27/2015
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