Organization
IVY COTTAGES II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN RODRIGUEZ (OWNER/ADMINISTRATOR)
(714) 396-7614
Entity
Organization
Contact information
Practice address
16827 MOUNT EDEN ST, FOUNTAIN VALLEY, CA 92708-2517
(714) 396-7614
Mailing address
16827 MOUNT EDEN ST, FOUNTAIN VALLEY, CA 92708-2517
(714) 396-7614
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/22/2025
Last updated
04/23/2025
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