Organization
AASPEN VILLAGE CARE
Active
Organization
AASPEN VILLAGE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUSHTAQ KHAN M.D. (C.E.O.)
(818) 952-7448
Entity
Organization
Contact information
Practice address
7645 KICKAPOO TRL, YUCCA VALLEY, CA 92284-3339
(760) 228-2729
Mailing address
7645 KICKAPOO TRL, YUCCA VALLEY, CA 92284-3339
(760) 228-2729
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
366423788
CA
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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