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Miss Wanda Elaine Smith, ADMINISTRATOR
Assisted Living Facility in Lancaster, California
NPI 1083045496

Wanda Elaine Smith is an Assisted Living Facility based in Lancaster, CA. Wanda Elaine Smith practices in Lancaster, CA and has the professional credentials of ADMINISTRATOR. The NPI Number for Wanda Elaine Smith is 1083045496 and holds a License No. 197602356 (California).

The current practice location address for Wanda Elaine Smith is 1046 E Lancaster Blvd, Lancaster, CA and can be reached out via phone at 661-992-6371 and via fax at 855-631-0360.

Location: 1046 E Lancaster Blvd, Lancaster, CA, 93535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083045496
Provider Name
Wanda Elaine Smith
Credential
ADMINISTRATOR
Provider Entity Type
Individual
Gender
Female
Address
1046 E Lancaster Blvd, Lancaster, CA, 93535
Phone Number
661-992-6371
Fax Number
855-631-0360
Provider Enumeration Date
12/11/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1046 E Lancaster Blvd
City
Lancaster
State
California
Zip
93535-2752
Phone Number
661-992-6371
Fax Number
855-631-0360
person
Provider Business Mailing Address Details
Address
1046 E Lancaster Blvd
City
Lancaster
State
California
Zip
93535-2752
Phone Number
661-992-6371
Fax Number
855-631-0360
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
197602356 (California)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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