Organization
SIGNATURE RESIDENCE, INC
Active
Other names
Signature Residence, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
KOLALEH FARIS (PRESIDENT)
(949) 510-5968
Entity
Organization
Contact information
Practice address
2727 WAVECREST DR, CORONA DEL MAR, CA 92625-1326
(949) 220-1412
Mailing address
2727 WAVECREST DR, CORONA DEL MAR, CA 92625-1326
(949) 220-1412
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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