Evelyn Lavern Thompson
Evelyn Lavern Thompson is a Pediatric Skilled Nursing Facility in Moreno Valley, California. Licensed in California. Registered with an NPI since 2008.
- Licensed in
- CA
- In the registry since
- 2008
Practice location Address checks out
12279 Lasselle StMoreno Valley, CA 92557-7705
Phone: (951) 485-6847
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Skilled Nursing Facility (primary) | Taxonomy 3140N1450X · Licence VN129832 (CA) |
|---|
Record details
| NPI number | 1104003763 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Evelyn Thompson — L.V.N · (951) 485-6847 |
| NPI enumerated | January 25, 2008 |
| Last updated in NPPES | January 25, 2008 |
| Mailing address | 12279 Lasselle St, Moreno Valley, CA 92557-7705 |