Core Care V A Ca Limited
Skilled Nursing Facility in Fullerton, CA. Organization (NPI-2).
NPI number1972594463
StatusActive
Last updated in NPPESOct 13, 2016
Details
- NPI
- 1972594463
- Entity type
- Organization (NPI-2)
- Legal business name
- Core Care V A Ca Limited
- Organization subpart
- No
- Enumeration date
- Nov 2, 2005
- Last updated
- Oct 13, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 060000329 | CA | Yes |
| 310400000X | Assisted Living Facility | 300613274 | CA |
Other names
- Park Vista At Morningside (Doing Business As)
Practice location
2525 Brea BlvdFullerton, CA 92835-2787
Phone 714-256-1000 · Fax 714-256-8014
Mailing address
2525 Brea BlvdFullerton, CA 92835-2787
Phone 714-256-1000 · Fax 714-256-8014
Authorized official
Elwood J. Wilson
President
7607046255
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