Organization
PACIFICA HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS LUCERO (LICENSEE)
(949) 874-8777
Entity
Organization
Contact information
Practice address
23711 VIA LA CORUNA, MISSION VIEJO, CA 92691-3523
(949) 874-8777
Mailing address
23711 VIA LA CORUNA, MISSION VIEJO, CA 92691-3523
(949) 874-8777
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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