Organization
PACIFIC SUNRISE HOME INC.
Active
Other names
PACIFIC SUNRISE HOME 2
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA LOIDA CANTORIA (ADMINISTRATOR)
(310) 500-7223
Entity
Organization
Contact information
Practice address
28122 LOMO DR, RANCHO PALOS VERDES, CA 90275-3226
(424) 777-8602
(424) 206-9069
Mailing address
28122 LOMO DR, RANCHO PALOS VERDES, CA 90275-3226
(424) 777-8602
(424) 206-9069
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
197608243
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197608243
DEPARTMENT OF SOCIAL SERVICES
CA
Enumeration date
11/02/2015
Last updated
11/02/2015
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