Organization
CROSS CREEK CARE, INC
Active
Other names
Cross Creek Cottage
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WINFRED WILSON RN (OWNER/ADMINISTRATOR)
(949) 722-1014
Entity
Organization
Contact information
Practice address
138 E 18TH ST, COSTA MESA, CA 92627-3035
(949) 722-1014
(949) 631-5205
Mailing address
138 E 18TH ST, COSTA MESA, CA 92627-3035
(949) 722-1014
(949) 631-5205
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
306000888
CA
Other
Enumeration date
03/15/2015
Last updated
03/15/2015
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