Organization
FIRE DRAGON INVESTMENT, LLC.
Active
Other names
Olivia Isabel Manor
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALYNN PHUONG LE (CEO)
(714) 651-1131
Entity
Organization
Contact information
Practice address
21515 FIGUEROA ST, CARSON, CA 90745-1947
(310) 328-5116
(310) 328-9170
Mailing address
21515 FIGUEROA ST, CARSON, CA 90745-1947
(310) 328-5116
(310) 328-9170
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
198601766
CA
Other
Enumeration date
04/12/2015
Last updated
07/08/2015
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