Organization
IBORROW 525 W LA PALMA TENANT, LLC
Active
Other names
Harbor Heights Assisted Living & Memory Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY JAMES VAUGHN (REIMBURSEMENT ANALYST)
(240) 595-6025
Entity
Organization
Contact information
Practice address
525 W LA PALMA AVE, ANAHEIM, CA 92801-2432
(714) 687-9826
Mailing address
525 W LA PALMA AVE, ANAHEIM, CA 92801-2432
(714) 687-9826
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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