Organization
HACIENDA DEL REY MSL LLC, DBA HACIENDA DEL REY
Active
Other names
Hacienda del Rey, Bldg. #4
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF FISCHER (PRESIDENT)
(949) 242-1480
Entity
Organization
Contact information
Practice address
12917 W LAS CRUCES DR BLDG 4, LITCHFIELD PARK, AZ 85340-5194
(623) 498-8682
Mailing address
4 PARK PLZ STE 400, IRVINE, CA 92614-2507
(949) 242-1469
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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