Provider Demographics
NPI:1881406395
Name:NECTARSWEET CLHF INC
Entity type:Organization
Organization Name:NECTARSWEET CLHF INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHARMAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ELEQUIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-818-8086
Mailing Address - Street 1:7664 NECTARSWEET DR
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-1568
Mailing Address - Country:US
Mailing Address - Phone:562-818-8086
Mailing Address - Fax:
Practice Address - Street 1:7664 NECTARSWEET DR
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-1568
Practice Address - Country:US
Practice Address - Phone:562-818-8086
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility