Organization
GENTLE SOUL GUEST HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULITA RODRIGUEZ (MANAGING MEMBER/OWNER)
(951) 473-0590
Entity
Organization
Contact information
Practice address
699 WINNERS CIR, SAN JACINTO, CA 92582-2741
(951) 473-0590
Mailing address
29831 MOONDANCE WAY, MENIFEE, CA 92586-3613
(951) 473-0590
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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