Organization
SONRISA VILLA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EPIFANIA NICOLAS (CEO)
(714) 906-9116
Entity
Organization
Contact information
Practice address
708 E 5TH ST, HOLTVILLE, CA 92250-1514
(714) 905-6065
Mailing address
PO BOX 3430, FULLERTON, CA 92834-3430
(714) 905-6065
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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