Individual provider · Type 1 NPI

Stephanie Kumalao Richardson

Assisted Living Facility · Victorville, CA

NPI number 1962107342 Active

Practice location

15027 Manning St
Victorville, CA 92394-1033

Call (818) 259-9107 Map

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X365530050 (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 1962107342

Stephanie Kumalao Richardson's National Provider Identifier is 1962107342, issued on Apr 4, 2023. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Victorville, CA. The record was last updated on Apr 4, 2023.