Organization
RAYJAY2011 LLC
Active
Other names
FirstLight Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES PARK (PARTNER)
(714) 221-8733
Entity
Organization
Contact information
Practice address
1740 W KATELLA AVE STE M, ORANGE, CA 92867-3434
(714) 221-8733
(714) 289-8010
Mailing address
1740 W KATELLA AVE STE M, ORANGE, CA 92867-3434
(714) 221-8733
(714) 289-8010
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
158811
CA
Other
Enumeration date
07/02/2012
Last updated
10/20/2023
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