Provider Demographics
NPI:1124890801
Name:ASSISTED LIVING & WELLNESS INC
Entity type:Organization
Organization Name:ASSISTED LIVING & WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:RICCHIAZZI
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:626-235-2988
Mailing Address - Street 1:5917 OAK AVE # 317
Mailing Address - Street 2:
Mailing Address - City:TEMPLE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91780-2028
Mailing Address - Country:US
Mailing Address - Phone:626-235-2988
Mailing Address - Fax:
Practice Address - Street 1:220 W NAOMI AVE
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-6911
Practice Address - Country:US
Practice Address - Phone:626-235-2988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-25
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility