Organization · Type 2 NPI

Mondell Pine Manor I

Assisted Living Facility · Palmdale, CA

NPI number 1508603986 Active

Practice location

39046 Mondell Pine Ave
Palmdale, CA 93551-6042

Call (818) 332-6150 Map

Fax (805) 578-9486

Mailing address

1716 Erringer Rd Ste 104
Simi Valley, CA 93065-6506

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

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 1508603986

Mondell Pine Manor I's National Provider Identifier is 1508603986, issued on Jul 11, 2024. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Palmdale, CA. The record was last updated on Jul 11, 2024.