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Lavender Rise Homes Llc
Intellectual Disabilities Intermediate Care Facility in Loma Linda, California
NPI 1851042444

Lavender Rise Homes Llc is a Intellectual Disabilities Intermediate Care Facility based in Littlerock, CA. Lavender Rise Homes Llc practices in Loma Linda, CA. The NPI Number for Lavender Rise Homes Llc is 1851042444 and holds a License No. (California).

The current practice location address for Lavender Rise Homes Llc is 10713 Mountain View Ave, Loma Linda, CA and can be reached out via phone at 310-968-5849.

Location: 10713 Mountain View Ave, Loma Linda, CA, 93543-5361
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851042444
Provider Name
Lavender Rise Homes Llc
Credential
Provider Entity Type
Organization
Address
10713 Mountain View Ave, Loma Linda, CA, 93543-5361
Phone Number
310-968-5849
Fax Number
Provider Enumeration Date
01/14/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
10713 Mountain View Ave
City
Loma Linda
State
California
Zip
92354-2519
Phone Number
310-968-5849
Fax Number
person
Provider Business Mailing Address Details
Address
10713 Mountain View Ave
City
Loma Linda
State
California
Zip
92354-2519
Phone Number
310-968-5849
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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