| NPI | 1124666771 |
|---|---|
| Doing Business As | OAK FENCE CONGREGATE LIVING HEALTH FACILITY #2 |
| Entity Type | Organization |
| Authorized Contact | THAN T AYE Owner 909-967-1872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2023-03-09 |