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Organization

PRIME SENIOR CARE HOMES L.L.C

Active
Other names
Avalon Guest Home I
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARYAM F SHARIFI (ADMINISTRATOR/LICENSEE)
(949) 485-1376
Entity
Organization

Contact information

Practice address
1857 SHEDDON ST, FULLERTON, CA 92833-5659
(714) 869-3532
(714) 869-3532
Mailing address
1857 SHEDDON ST, FULLERTON, CA 92833-5659
(714) 869-3532
(714) 869-3532

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
10/20/2020
Last updated
10/20/2020
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