Organization
LESMONI INC
Active
Other names
Cedar Ridge House ICF/DDN
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDITH C ABESAMIS RN (OWNER)
(925) 757-1379
Entity
Organization
Contact information
Practice address
5241 CEDAR RIDGE WAY, ANTIOCH, CA 94531-8097
(925) 757-1379
(925) 978-2761
Mailing address
5241 CEDAR RIDGE WAY, ANTIOCH, CA 94531
(925) 757-1379
(925) 978-2761
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
LTC80387F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC80387F
—
CA
Enumeration date
05/13/2007
Last updated
11/13/2012
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