1St Companion Residence LLC
Organization Active NPI Assisted Living Facility · Palmdale, CA
NPI 1801634597 · NPPES record last updated Jul 17, 2024
Key facts
- NPI
- 1801634597
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- 1ST COMPANION RESIDENCE LLC
- Practice address
- 40341 15TH Street West
Palmdale, CA 93551 - Phone
- (213) 447-4802
- NPI assigned
- Jul 17, 2024
- Organization subpart
- No
Authorized official
- Name
- Mr. Rey Ryan Medel
- Title
- Licensee
- Phone
- (213) 447-4802
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
40341 15TH Street West
Palmdale, CA 93551
Mailing address
40341 15TH Street West
Palmdale, CA 93551
Phone (213) 447-4802
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All providers in Palmdale, 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 Jul 17, 2024. 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.