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1164245304
BLISSFUL JACKSON FACILITY LLC
RIVERSIDE, CA
NPI
1164245304
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Entity Type
Organization
Authorized Contact
KEN CLAVIO
CEO
310-729-3844
Organization Subpart ?
No
Primary Taxonomy
310400000X Assisted Living Facility
Enumeration Date
2024-11-06
Last Update Date
2024-11-09
Business Address
BLISSFUL JACKSON FACILITY LLC
4105 JACKSON ST
RIVERSIDE, CA 92503-3911
Phone number: 310-729-3844
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Mailing Address
BLISSFUL JACKSON FACILITY LLC
4105 JACKSON ST
RIVERSIDE, CA 92503-3911
Phone number: 310-729-3844
Copy
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