Organization · Type 2 NPI

Evans Elderly Residential Care LLC

Assisted Living Facility · Victorville, CA

NPI number 1972953156 Active

Practice location

13947 Castille St
Victorville, CA 92392-5508

Call (760) 261-4241 Map

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X366426751 (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 1972953156

Evans Elderly Residential Care LLC's National Provider Identifier is 1972953156, issued on Jun 17, 2016. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Victorville, CA. The record was last updated on Jun 17, 2016.