Provider Demographics
NPI:1932912011
Name:A1 LIVING INC
Entity type:Organization
Organization Name:A1 LIVING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:GEORGETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-544-6460
Mailing Address - Street 1:2135 E 19TH ST APT A
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92404-5892
Mailing Address - Country:US
Mailing Address - Phone:909-544-6460
Mailing Address - Fax:
Practice Address - Street 1:2135 E 19TH ST APT ABCD
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92404-5892
Practice Address - Country:US
Practice Address - Phone:909-544-6460
Practice Address - Fax:909-544-6460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes177F00000XOther Service ProvidersLodging