Organization
KP HEALTHCARE - DBA LOTUS VILLA MEMORY CARE
Active
Other names
LOTUS VILLA & MEMORY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
FELISA N DAY (ADMINISTRATOR)
(909) 355-6887
Entity
Organization
Contact information
Practice address
9448 CITRUS AVE, FONTANA, CA 92335-5512
(909) 355-6887
(909) 355-6882
Mailing address
9448 CITRUS AVE, FONTANA, CA 92335-5512
(909) 355-6887
(909) 355-6882
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
12/26/2019
Last updated
02/07/2020
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