Organization
GOLDEN BLOOM VILLA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZA VALENCIA (ADMINISTRATOR)
(562) 348-2388
Entity
Organization
Contact information
Practice address
725 GOLDEN LN, FALLBROOK, CA 92028-3447
(562) 348-2388
Mailing address
725 GOLDEN LN, FALLBROOK, CA 92028-3447
(562) 348-2388
(760) 990-9089
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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