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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