Organization
CIMMERON TRAIL RCFE LLC
Active
Organization
CIMMERON TRAIL RCFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE CARSON III (LICENSEE)
(213) 210-5773
Entity
Organization
Contact information
Practice address
10415 CIMMERON TRAIL DR, ADELANTO, CA 92301-2214
(213) 210-5773
Mailing address
18857 RAVENHURST WAY, RIVERSIDE, CA 92504-9413
(213) 210-5773
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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