Organization
ALLWALKS THRULIFE RESIDENTIAL FACILITY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA WALLACE (DIRECTOR)
(909) 619-9319
Entity
Organization
Contact information
Practice address
4138 VAHAN CT, LANCASTER, CA 93536-6838
(909) 619-9319
Mailing address
4138 VAHAN CT, LANCASTER, CA 93536-6838
(909) 619-9319
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
04/14/2024
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