Organization · NPI-2
California Guest Home INC.
Assisted Living Facility · Orange, CA
NPI number1609553023
StatusActive
Last updated in NPPESJun 28, 2023
Details
- NPI
- 1609553023
- Entity type
- Organization (NPI-2)
- Legal business name
- California Guest Home INC.
- Organization subpart
- No
- Enumeration date
- Jun 28, 2023
- Certification date
- Jun 28, 2023
- Last updated
- Jun 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Practice location
2840 E Quincy AveOrange, CA 92867-6234
Phone 949-573-6489
Mailing address
2840 E Quincy AveOrange, CA 92867-6234
Phone 949-573-6489
Authorized official
Priscilla Celis
Administrator
9495736489
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