Beverly Residential Care LLC
Assisted Living Facility in Garden Grove, CA. Organization (NPI-2).
NPI number1235948134
StatusActive
Last updated in NPPESJan 6, 2025
Details
- NPI
- 1235948134
- Entity type
- Organization (NPI-2)
- Legal business name
- Beverly Residential Care LLC
- Organization subpart
- No
- Enumeration date
- Jan 6, 2025
- Certification date
- Jan 5, 2025
- Last updated
- Jan 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Practice location
9771 Beverly LnGarden Grove, CA 92841-3835
Phone 714-300-4540
Mailing address
9771 Beverly LnGarden Grove, CA 92841-3835
Phone 714-300-4540
Authorized official
Kevin Dino Hieu Dinh
Licensee
7143004540
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All 32 Assisted Living Facility providers in Garden Grove · All 5,773 providers in Garden Grove
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