# LAKE FOREST POST ACUTE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Trabuco Hills Post Acute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114652617
- **Authorized official:** DAVID JOHNSON (CEO)
- **Authorized official phone:** (714) 577-3880

## Contact information

- **Practice address:** 25652 OLD TRABUCO RD, LAKE FOREST, CA 92630-2776
- **Practice address phone:** (949) 380-9380
- **Mailing address:** 25652 OLD TRABUCO RD, LAKE FOREST, CA 92630-2776
- **Mailing address phone:** (949) 380-9380

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 07/19/2022
- **Last updated:** 07/19/2022