Organization
AMAZING GRACE OASIS III
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARSEN ANDREASYAN (CEO)
(818) 203-7779
Entity
Organization
Contact information
Practice address
13253 LONG MEADOW ST, HESPERIA, CA 92344-9266
(818) 203-7779
(818) 925-3011
Mailing address
13253 LONG MEADOW ST, HESPERIA, CA 92344-9266
(818) 203-7779
(818) 925-3011
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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