Organization
1ST COMPANION RESIDENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REY RYAN MEDEL (LICENSEE)
(213) 447-4802
Entity
Organization
Contact information
Practice address
40341 15TH STREET WEST, PALMDALE, CA 93551
(213) 447-4802
Mailing address
40341 15TH STREET WEST, PALMDALE, CA 93551
(213) 447-4802
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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