Organization
C&G RESIDENTIAL FACILITIES, LLC
Active
Other names
Golden Horizon Home 1
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE-MARIE NGUYEN (OWNER/ADMINISTRATOR)
(702) 686-2418
Entity
Organization
Contact information
Practice address
15710 SILVER SPUR RD, RIVERSIDE, CA 92504-5736
(951) 398-7608
Mailing address
2151 VENTIA, TUSTIN, CA 92782-8735
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
331881125
DEPARTMENT OF SOCIAL SERVICES
CA
Enumeration date
02/16/2022
Last updated
02/16/2022
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