Organization
ANAHEIM VILLA INC.
Active
Other names
Anaheim Villa
Organization subpart
No
Provider details
NPI number
Authorized official
HYOUNG T PARK (CEO)
(213) 700-0553
Entity
Organization
Contact information
Practice address
3411 W BALL RD, ANAHEIM, CA 92804-3720
(714) 821-9660
Mailing address
222 N HARVARD BLVD, LOS ANGELES, CA 90004-4319
(213) 700-0553
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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