Organization
VITALBREATH CARE FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY LU (OWNER)
(714) 745-2896
Entity
Organization
Contact information
Practice address
7817 SAUTERNE DR, RANCHO CUCAMONGA, CA 91730-2410
(714) 745-2896
Mailing address
6876 RIPPLE CT, JURUPA VALLEY, CA 91752-2749
(714) 745-2896
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/18/2026
Last updated
02/18/2026
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