Organization
CARE JESELLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY NATIVIDAD (MANAGER)
(562) 458-8395
Entity
Organization
Contact information
Practice address
2438 E PARKSIDE AVE, ORANGE, CA 92867-4042
(657) 224-9380
Mailing address
2438 E PARKSIDE AVE, ORANGE, CA 92867-4042
(657) 224-9380
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
306005548
RCFE
CA
Enumeration date
01/31/2020
Last updated
01/31/2020
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