Provider Demographics
NPI:1780579383
Name:DARLENES L. H. RESIDENTIAL CARE INC
Entity type:Organization
Organization Name:DARLENES L. H. RESIDENTIAL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR /OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:BENARD
Authorized Official - Suffix:
Authorized Official - Credentials:RESIDENTIAL CARE ELD
Authorized Official - Phone:442-405-5164
Mailing Address - Street 1:10950 PEMBERTON WAY
Mailing Address - Street 2:
Mailing Address - City:ADELANTO
Mailing Address - State:CA
Mailing Address - Zip Code:92301-4001
Mailing Address - Country:US
Mailing Address - Phone:442-405-5164
Mailing Address - Fax:
Practice Address - Street 1:10950 PEMBERTON WAY
Practice Address - Street 2:
Practice Address - City:ADELANTO
Practice Address - State:CA
Practice Address - Zip Code:92301-4001
Practice Address - Country:US
Practice Address - Phone:442-405-5164
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility