Organization
CROWN MANOR CAMPILLOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BIM (LICENSEE)
(714) 743-7516
Entity
Organization
Contact information
Practice address
15327 CAMPILLOS RD, LA MIRADA, CA 90638-4001
(714) 743-7516
Mailing address
15327 CAMPILLOS RD, LA MIRADA, CA 90638-4001
(714) 743-7516
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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