Organization
PACIFICA HOME CARE III
Active
Organization
PACIFICA HOME CARE III
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS LUCERO (LICENSEE)
(949) 874-8777
Entity
Organization
Contact information
Practice address
24141 ROMA DR, MISSION VIEJO, CA 92691-3849
(949) 874-8777
Mailing address
24141 ROMA DR, MISSION VIEJO, CA 92691-3849
(949) 874-8777
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/10/2024
Last updated
08/10/2024
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