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La Fuente Lavender Llc
Assisted Living Facility in Fontana, California
NPI 1093269946

La Fuente Lavender Llc is an Assisted Living Facility based in Fontana, CA. La Fuente Lavender Llc practices in Fontana, CA. The NPI Number for La Fuente Lavender Llc is 1093269946 and holds a License No. 361800009 (California).

The current practice location address for La Fuente Lavender Llc is 9545 Tamarind Ave, Fontana, CA and can be reached out via phone at 909-346-0292 and via fax at 909-346-0292.

Location: 9545 Tamarind Ave, Fontana, CA, 92335-5962
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093269946
Provider Name
La Fuente Lavender Llc
Credential
Provider Entity Type
Organization
Address
9545 Tamarind Ave, Fontana, CA, 92335-5962
Phone Number
909-346-0292
Fax Number
909-346-0292
Provider Enumeration Date
08/09/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
361800009 01 CA RESIDENTIAL CARE FOR ELDERLY LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
9545 Tamarind Ave
City
Fontana
State
California
Zip
92335-5962
Phone Number
909-346-0292
Fax Number
909-346-0292
person
Provider Business Mailing Address Details
Address
9545 Tamarind Ave
City
Fontana
State
California
Zip
92335-5962
Phone Number
909-346-0292
Fax Number
909-346-0292
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
361800009 (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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