Organization
MOM'S RETREAT RECUPERATIVE CARE & REFERRAL LLC
Active
Other names
Mom's Retreat Recuperative Care & Referral
Organization subpart
No
Provider details
NPI number
Authorized official
JULIAN GARCIA (LLC MEMBER)
(714) 904-1668
Entity
Organization
Contact information
Practice address
1100 E ORANGETHORPE AVE STE 200L, ANAHEIM, CA 92801-1144
(714) 904-1668
Mailing address
1100 E ORANGETHORPE AVE STE 200L, ANAHEIM, CA 92801-1144
(714) 904-1668
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BUS2022-02010
BUSINESS LICENSE
CA
Enumeration date
09/21/2022
Last updated
09/21/2022
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