TYLYCE FARMS

LOS ANGELES, CA
NPI1205424405
Former Legal Business NameMAGENTA HAZE PR
Entity TypeOrganization
Authorized ContactCHARDE PETRUS
Director
661-797-4018
Organization Subpart ?Yes
Primary Taxonomy251E00000X Home Health
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
167G00000X Licensed Psychiatric Technician
Enumeration Date2021-01-05
Last Update Date2021-01-05
Business Address
TYLYCE FARMS
1937 E 111TH ST
LOS ANGELES, CA 90059-2001
Phone number: 661-797-4018
Mailing Address
TYLYCE FARMS
3231 KEY LARGO DR APT 202
LAS VEGAS, NV 89120-5304
Phone number: 925-332-8810