Organization · Type 2 NPI

Lavender Rise Homes LLC

Intellectual Disabilities Intermediate Care Facility · Loma Linda, CA

NPI number 1851042444 Active

Practice location

10713 Mountain View Ave
Loma Linda, CA 92354-2519

Call (310) 968-5849 Map

Mailing address

PO Box 1361
Littlerock, CA 93543-5361

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1851042444

Lavender Rise Homes LLC's National Provider Identifier is 1851042444, issued on Jan 14, 2022. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Loma Linda, CA. The record was last updated on Jan 14, 2022.