Organization
PARKMOUNT MANOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY BROUILLETTE (CEO)
(951) 870-7189
Entity
Organization
Contact information
Practice address
1001 YARDLEY WAY, CORONA, CA 92881-7434
(951) 870-7189
Mailing address
4264 WINDSPRING CIR, CORONA, CA 92883-5925
(951) 870-7189
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
12/18/2024
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