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Lotus Villa Affiliate Llc
Assisted Living Facility in Fontana, California
NPI 1639884687

Lotus Villa Affiliate Llc is an Assisted Living Facility based in Fontana, CA. Lotus Villa Affiliate Llc practices in Fontana, CA. The NPI Number for Lotus Villa Affiliate Llc is 1639884687 and holds a License No. (California).

The current practice location address for Lotus Villa Affiliate Llc is 9448 Citrus Ave, Fontana, CA and can be reached out via phone at 909-355-6887.

Location: 9448 Citrus Ave, Fontana, CA, 92335-5512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639884687
Provider Name
Lotus Villa Affiliate Llc
Credential
Provider Entity Type
Organization
Address
9448 Citrus Ave, Fontana, CA, 92335-5512
Phone Number
909-355-6887
Fax Number
Provider Enumeration Date
01/13/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
9448 Citrus Ave
City
Fontana
State
California
Zip
92335-5512
Phone Number
909-355-6887
Fax Number
person
Provider Business Mailing Address Details
Address
9448 Citrus Ave
City
Fontana
State
California
Zip
92335-5512
Phone Number
909-355-6887
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
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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