Organization
FOREVERSONYA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOUSEF FAKHOURI (LICENSEE)
(714) 737-9457
Entity
Organization
Contact information
Practice address
11602 GARDEN DR, GARDEN GROVE, CA 92840-1555
(714) 737-9457
Mailing address
6552 CRESCENT AVE, BUENA PARK, CA 90620-3752
(714) 737-9457
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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