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1891410585
IVAN BANNER BOARDING CARE
PALMDALE, CA
NPI
1891410585
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Entity Type
Organization
Authorized Contact
CYNTHIA TAYLOR
Licensee
661-267-0779
Organization Subpart ?
No
Primary Taxonomy
310400000X Assisted Living Facility
Enumeration Date
2022-10-05
Last Update Date
2022-10-05
Business Address
IVAN BANNER BOARDING CARE
39409 DAYLILY PL
PALMDALE, CA 93551-4161
Phone number: 661-267-0779
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Mailing Address
IVAN BANNER BOARDING CARE
39409 DAYLILY PL
PALMDALE, CA 93551-4161
Phone number: 661-267-0779
Copy
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