Organization
BERGUM GROUP HOMES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BERGUM (OWNER)
(714) 615-0079
Entity
Organization
Contact information
Practice address
1097 CORONA LN, COSTA MESA, CA 92626-5522
(714) 615-0079
Mailing address
1097 CORONA LN, COSTA MESA, CA 92626-5522
(714) 615-0079
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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