Organization
DESTINY LA PALMA ROYALE RETIREMENT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE Y WATANABE (PRESIDENT)
(714) 707-3212
Entity
Organization
Contact information
Practice address
525 W LA PALMA AVE, ANAHEIM, CA 92801-2432
(714) 991-3242
Mailing address
1071 N BATAVIA ST, ORANGE, CA 92867-5570
(714) 707-3212
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
306004691
CA
Other
Enumeration date
07/21/2017
Last updated
07/21/2017
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