Organization
FAIRWAY VISTA CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME LANDICHO (CEO)
(661) 878-5085
Entity
Organization
Contact information
Practice address
3508 TOURNAMENT DR, PALMDALE, CA 93551-5633
(661) 878-5085
Mailing address
3508 TOURNAMENT DR, PALMDALE, CA 93551-5633
(661) 878-5085
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/30/2024
Last updated
05/31/2024
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