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Organization
ORANGE CAREHOME
Active
Organization
ORANGE CAREHOME
Active
Other names
MAISON FOR MOM
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCIS MEJIA (MANAGING PARTNER)
(909) 534-0132
Entity
Organization
Contact information
Practice address
804 W BRENTWOOD AVE, ORANGE, CA 92865-2125
(909) 534-0132
(909) 575-4530
Mailing address
804 W BRENTWOOD AVE, ORANGE, CA 92865-2125
(909) 534-0132
(909) 575-4530
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
306005407
DEPARTMENT OF SOCIAL SERVICES LICENSE
CA
Enumeration date
08/09/2019
Last updated
08/09/2019
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