| NPI | 1376718221 |
|---|---|
| Doing Business As | ANTELOPE VALLEY RETIREMENT MANOR |
| Entity Type | Organization |
| Authorized Contact | ELENITA PEREZ Administrator 661-949-5584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 191200705) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |