Organization
BEVERLY RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN DINO HIEU DINH (LICENSEE)
(714) 300-4540
Entity
Organization
Contact information
Practice address
9771 BEVERLY LN, GARDEN GROVE, CA 92841-3835
(714) 300-4540
Mailing address
9771 BEVERLY LN, GARDEN GROVE, CA 92841-3835
(714) 300-4540
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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