Organization
AT AWE LLC
Active
Other names
At Awe Congregate Living Health Facility
Organization subpart
No
Provider details
NPI number
Authorized official
ALVIN ADAMS (ADMINISTRATOR)
(323) 590-3403
Entity
Organization
Contact information
Practice address
10876 MORNING RIDGE DR, MORENO VALLEY, CA 92557-4202
(951) 214-2234
(951) 214-2234
Mailing address
10876 MORNING RIDGE DR, MORENO VALLEY, CA 92557-4202
(951) 214-2234
(951) 214-2102
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/22/2020
Last updated
10/10/2023
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