Organization
CITRUS BREEZE VILLA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOM TEKESTA (LICENSEE)
(714) 423-4629
Entity
Organization
Contact information
Practice address
1009 S CITRUS ST, WEST COVINA, CA 91791-3403
(714) 423-4629
Mailing address
1009 S CITRUS ST, WEST COVINA, CA 91791-3403
(714) 423-4629
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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