Provider Demographics
NPI:1386965424
Name:SENIOR FOCUS RESIDENTIAL CARE
Entity type:Organization
Organization Name:SENIOR FOCUS RESIDENTIAL CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:C.F.O./SEC. ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:LAMAR
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:951-684-1400
Mailing Address - Street 1:871 VIA MINDI
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-3642
Mailing Address - Country:US
Mailing Address - Phone:951-684-2511
Mailing Address - Fax:951-784-3742
Practice Address - Street 1:871 VIA MINDI
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-3642
Practice Address - Country:US
Practice Address - Phone:951-684-2511
Practice Address - Fax:951-784-3742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-11
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility