Organization
AGAPE SENIOR HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LONNIE FISCHER (ADMINISTRATOR)
(714) 393-2308
Entity
Organization
Contact information
Practice address
11442 NEWPORT AVE, SANTA ANA, CA 92705-2219
(714) 393-2308
Mailing address
18032 LEMON DR # C161, YORBA LINDA, CA 92886-3386
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
306005527
FACILITY NUMBER
CA
Enumeration date
12/07/2018
Last updated
12/07/2018
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