Organization
ASSURED CARE VILLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA DOMPREH-MENSAH (LICENSEE/ADMINISTRATOR)
(562) 774-6297
Entity
Organization
Contact information
Practice address
561 E 2ND AVE, LA HABRA, CA 90631-0820
(562) 774-6297
(562) 381-9333
Mailing address
561 E 2ND AVE, LA HABRA, CA 90631-0820
(562) 774-6297
(562) 381-9333
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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