Organization
SENIOR LIVING COMMUNITY AN EASTERN STAR HOME
Active
Organization
SENIOR LIVING COMMUNITY AN EASTERN STAR HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM WHITELEY (CHAIRMAN OF THE BOARD)
(707) 696-7389
Entity
Organization
Contact information
Practice address
16850 BASTANCHURY RD, YORBA LINDA, CA 92886-1608
(714) 577-9281
(714) 577-9854
Mailing address
16850 BASTANCHURY RD, YORBA LINDA, CA 92886-1608
(714) 577-9281
(714) 577-9854
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
306000889
CA
Other
Enumeration date
09/06/2017
Last updated
07/21/2022
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