Organization
CROSS CREEK CARE, INC
Active
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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