Braswell'S Mediterranean Gardens, LP
Organization Active NPI Assisted Living Facility · Yucaipa, CA
NPI 1376901447 · NPPES record last updated Feb 4, 2016
Key facts
- NPI
- 1376901447
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 360900521 (CA)
- Legal business name
- BRASWELL'S MEDITERRANEAN GARDENS, LP
- Practice address
- 12295 4TH St
Yucaipa, CA 92399-4120 - Phone
- (909) 797-1131
- Fax
- (909) 797-9821
- NPI assigned
- Feb 4, 2016
- Organization subpart
- No
Authorized official
- Name
- Janet Piccinati
- Title
- Administrator
- Phone
- (909) 797-1131
National Provider Directory
Locations
12295 4th St
Yucaipa, CA 92399
Phone (909) 797-1131
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 360900521 | CA | Yes |
Addresses
Primary practice location
12295 4TH St
Yucaipa, CA 92399-4120
Mailing address
12295 Fourth St
Yucaipa, CA 92399
Phone (909) 797-1131
Other providers in Yucaipa, CA
- Tonda Dale Bradshaw
- Taylor Brand
- Jennifer Brasher
- Braswell'S Community Convalescent LTD
- Braswell'S Leisure Manor
- Braswells Hampton Manor LP
- Braswells Yucaipa Valley Convalescent LP
- Karina Yaretzi Bressant-Rocha
- Brianna Holley Licensed Professional Clinical Counselor Inc
- Karen Brossia
All providers in Yucaipa, CA · Assisted Living Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.