Healthcare Provider Details

I. General information

NPI: 1922831890
Provider Name (Legal Business Name): AUBREYS VILLAS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2024
Last Update Date: 08/24/2024
Certification Date: 08/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68640 SENORA RD
CATHEDRAL CTY CA
92234-3810
US

IV. Provider business mailing address

68640 SENORA RD
CATHEDRAL CTY CA
92234-3810
US

V. Phone/Fax

Practice location:
  • Phone: 760-799-1464
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: JONIE ANNE GATUS
Title or Position: ADMINISTRATOR
Credential:
Phone: 760-799-1464