111 Fashion Lane LLC
111 Fashion Lane LLC is an Adult Day Care Clinic/Center in Tustin, California. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
111 Fashion LnTustin, CA 92780-3306
Phone: (714) 619-8636
Fax: (866) 646-1488
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Day Care Clinic/Center (primary) | Taxonomy 261QA0600X |
|---|
Record details
| NPI number | 1265006258 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Agnes Sinclair — Manager · (626) 429-9290 |
| NPI enumerated | May 14, 2021 |
| Last updated in NPPES | May 14, 2021 |
| Certification date | May 14, 2021 |
| Mailing address | 111 Fashion Ln, Tustin, CA 92780-3306 |
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