Organization
GARDEN GROVE GUEST HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YEHUDA COHEN (OWNER)
(323) 806-0786
Entity
Organization
Contact information
Practice address
12882 SHACKELFORD LN, GARDEN GROVE, CA 92841-5109
(323) 806-0786
Mailing address
12882 SHACKELFORD LN, GARDEN GROVE, CA 92841-5109
(323) 806-0786
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/01/2021
Last updated
08/01/2021
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