Organization
THE PAGEANTRY COTTAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL TAMONDONG (LICENSEE)
(714) 504-5371
Entity
Organization
Contact information
Practice address
125 PAGEANTRY DR, PLACENTIA, CA 92870-4331
(714) 504-5371
Mailing address
125 PAGEANTRY DR, PLACENTIA, CA 92870-4331
(714) 504-5371
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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