Organization
HARVEST RETIREMENT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINGER PO (PRESIDENT)
(949) 648-2737
Entity
Organization
Contact information
Practice address
9011 KNOTT AVE, BUENA PARK, CA 90620-4138
(714) 821-4130
(949) 608-1588
Mailing address
9011 KNOTT AVE, BUENA PARK, CA 90620-4138
(714) 821-4130
(949) 608-1588
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
306005207
CA
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
306005207
CA
311500000X
Alzheimer Center (Dementia Center)
306005207
CA
315D00000X
Inpatient Hospice
306005207
CA
Other
Enumeration date
02/06/2016
Last updated
02/06/2016
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