Organization
SYRACUSE RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE BUI (CEO)
(669) 216-8500
Entity
Organization
Contact information
Practice address
7362 SYRACUSE AVE, STANTON, CA 90680-2134
(669) 216-8500
Mailing address
7362 SYRACUSE AVE, STANTON, CA 90680-2134
(669) 216-8500
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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