Organization
GOLDEN VILLAGE
Active
Organization
GOLDEN VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGIE LABAYOG (ADMINISTRATOR/LICENSEE)
(909) 528-6469
Entity
Organization
Contact information
Practice address
11554 RICHMONT RD, LOMA LINDA, CA 92354-3525
(909) 796-0014
Mailing address
11555 RICHMONT RD, LOMA LINDA, CA 92354-3524
(909) 796-0014
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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