Organization
FOUNTAINS SEA BLUFFS, SL, LP
Active
Other names
The Fountains at Sea Bluffs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY J BROWN (EXECUTIVE DIRECTOR)
(949) 234-3001
Entity
Organization
Contact information
Practice address
25411 SEA BLUFFS DR, DANA POINT, CA 92629-2190
(949) 234-3001
(949) 489-8159
Mailing address
25411 SEA BLUFFS DR, DANA POINT, CA 92629-2190
(949) 234-3001
(949) 489-8159
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
306004270
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
306004270
RCFE LICENSE NUMBER
CA
Enumeration date
02/27/2012
Last updated
10/24/2012
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