Organization
HACIENDA DEL REY MSL LLC, DBA HACIENDA DEL REY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY FISCHER (PRESIDENT)
(949) 242-1480
Entity
Organization
Contact information
Practice address
12917 W LAS CRUCES DR, LITCHFIELD PARK, AZ 85340-5194
(623) 498-8682
Mailing address
4 PARK PLZ STE 1000, IRVINE, CA 92614-2552
(949) 242-1400
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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