Organization · Type 2 NPI
111 Fashion Lane LLC
Adult Day Care Clinic/Center · Tustin, CA
NPI number
1265006258
Active
Practice location
111 Fashion Ln
Tustin, CA 92780-3306
Fax (866) 646-1488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Day Care Clinic/Center Primary | 261QA0600X | None listed |
Adult Day Care Clinic/Center: Definition to come...
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About NPI 1265006258
111 Fashion Lane LLC's National Provider Identifier is 1265006258, issued on May 14, 2021. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Tustin, CA. The record was last updated on May 14, 2021.