Organization
GOLDEN LIFE MANOR IV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKLYN PENG LEE (LICENSEE)
(626) 541-5921
Entity
Organization
Contact information
Practice address
2344 W BEATON WAY, ORANGE, CA 92868-1901
(626) 541-5921
Mailing address
2344 W BEATON WAY, ORANGE, CA 92868-1901
(626) 541-5921
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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