Organization
CORKTREE HOLDINGS, LLC
Active
Other names
Newport Beach Memory Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MITCHELL (SECRETARY)
(385) 988-3319
Entity
Organization
Contact information
Practice address
1000 HALYARD, NEWPORT BEACH, CA 92663-2739
(949) 220-9700
Mailing address
140 N UNION AVE STE 320, FARMINGTON, UT 84025-2956
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
Other
Enumeration date
04/15/2022
Last updated
08/19/2024
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