Organization
LIVING HEALTH COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MA SATCHEL LECITA (ADMINISTRATOR)
(888) 488-2702
Entity
Organization
Contact information
Practice address
699 WINNERS CIR, SAN JACINTO, CA 92582-2741
(951) 487-3815
Mailing address
699 WINNERS CIR, SAN JACINTO, CA 92582-2741
(951) 487-3815
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D2127615
CLR00350613
CA
Enumeration date
12/16/2018
Last updated
12/16/2018
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