Organization
RYAN'S REACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES MICHAELIS (PRESIDENT)
(714) 396-7678
Entity
Organization
Contact information
Practice address
1321 LEAR LN, TUSTIN, CA 92780-4546
(714) 396-7678
Mailing address
35 AUGUSTA, COTO DE CAZA, CA 92679-4829
(714) 396-7678
(949) 589-8056
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
306004769
CA
Other
Enumeration date
11/22/2015
Last updated
11/22/2015
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