| NPI | 1104696897 |
|---|---|
| Doing Business As | PRIMAVERA ASSISTED LIVING LLC |
| Entity Type | Organization |
| Authorized Contact | JOY ANNE MARIE IBUYAN PADRON Owner 951-907-2289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2024-01-04 |