# OBEA SENIOR LIVING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ACASA SENIOR CARE NEWPORT BEACH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861102519
- **Authorized official:** MR. CHARLES KOFI ASARE (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (949) 779-2288

## Contact information

- **Practice address:** 765 NORTH MAIN STREET, \#150, CORONA, CA 92878
- **Practice address phone:** (949) 779-2288
- **Practice address fax:** (949) 393-0013
- **Mailing address:** 765 NORTH MAIN STREET, \#150, CORONA, CA 92878
- **Mailing address phone:** (949) 779-2288
- **Mailing address fax:** (949) 393-0013

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/02/2022
- **Last updated:** 12/02/2022