Organization
CANDLEBERRY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ULDARICO ALMIRANEZ (MANAGING MEMBER)
(949) 290-6006
Entity
Organization
Contact information
Practice address
4216 CANDLEBERRY AVE, SEAL BEACH, CA 90740-2825
(949) 290-6006
Mailing address
4216 CANDLEBERRY AVE, SEAL BEACH, CA 90740-2825
(949) 290-6006
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
306005780
DSS CCLD
CA
Enumeration date
04/14/2021
Last updated
04/14/2021
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