Individual provider · Type 1 NPI

Wanda Elaine Smith, ADMINISTRATOR

Assisted Living Facility · Lancaster, CA

NPI number 1083045496 Active

Practice location

1046 E Lancaster Blvd
Lancaster, CA 93535-2752

Call (661) 992-6371 Map

Fax (855) 631-0360

Mailing address

1046 E. Lancaster Blvd
Lancaster, CA 93535

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X197602356 (CA)

Assisted Living Facility: 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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About NPI 1083045496

Wanda Elaine Smith, ADMINISTRATOR's National Provider Identifier is 1083045496, issued on Dec 11, 2013. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Lancaster, CA. The record was last updated on Aug 16, 2021.