Organization
A FAITHFUL HOME LLC
Active
Organization
A FAITHFUL HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA SERAPIO KHOLOMA (ADMINISTRATOR/LICENSEE)
(714) 300-8055
Entity
Organization
Contact information
Practice address
26642 SALAMANCA DR, MISSION VIEJO, CA 92691-4923
(949) 382-2818
(949) 382-2818
Mailing address
26642 SALAMANCA DR, MISSION VIEJO, CA 92691-4923
(949) 382-2818
(949) 382-2818
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
306004810
CA
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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