NPI: 1780223503
Provider Name: KP HEALTHCARE - DBA LOTUS VILLA MEMORY CARE
Doing Business As: LOTUS VILLA & MEMORY CARE
Classification: Assisted Living Facility - 3104A0630X
Entity Type: Organization
Specialization: Assisted Living, Behavioral Disturbances
Address:
9448 CITRUS AVE
FONTANA, CA
ZIP 92335
Phone: (909) 355-6887
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KP HEALTHCARE - DBA LOTUS VILLA MEMORY CARE is an assisted living and behavioral disturbances assisted living facility in Fontana, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. KP HEALTHCARE - DBA LOTUS VILLA MEMORY CARE NPI is 1780223503. The provider is registered as an organization entity type.
The provider Is Doing Business As Lotus Villa & Memory Care.
The provider's business location address is:
9448 CITRUS AVE
FONTANA, CA
ZIP 92335-512
Phone: (909) 355-6887
Fax: (909) 355-6882
The provider's authorized official is Felisa N Day .
The authorized official title is Administrator and has the following contact phone number (909) 355-6887.
The enumeration date for this NPI number is 12/26/2019 and was last updated on 2/7/2020.