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111 Fashion Lane Llc
Adult Day Care Clinic/Center in Tustin, California
NPI 1265006258

111 Fashion Lane Llc is an Adult Day Care Clinic/Center based in Tustin, CA and is specialized in Adult Day Care. 111 Fashion Lane Llc practices in Tustin, CA. The NPI Number for 111 Fashion Lane Llc is 1265006258 and holds a License No. (California).

The current practice location address for 111 Fashion Lane Llc is 111 Fashion Ln, Tustin, CA and can be reached out via phone at 714-619-8636 and via fax at 866-646-1488.

Location: 111 Fashion Ln, Tustin, CA, 92780-3306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265006258
Provider Name
111 Fashion Lane Llc
Credential
Provider Entity Type
Organization
Address
111 Fashion Ln, Tustin, CA, 92780-3306
Phone Number
714-619-8636
Fax Number
866-646-1488
Provider Enumeration Date
05/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
111 Fashion Ln
City
Tustin
State
California
Zip
92780-3306
Phone Number
714-619-8636
Fax Number
866-646-1488
person
Provider Business Mailing Address Details
Address
111 Fashion Ln
City
Tustin
State
California
Zip
92780-3306
Phone Number
714-619-8636
Fax Number
866-646-1488
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
261QA0600X
License No.
()
Definition
Definition to come...
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