Organization
BLIND MOOSE LLC
Active
Organization
BLIND MOOSE LLC
Active
Other names
A Silver Amore Senior Home
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL AQUINO (SOLE LLC MEMBER)
(562) 702-6922
Entity
Organization
Contact information
Practice address
12697 BURBANK RD, EASTVALE, CA 92880-3362
(562) 702-6922
Mailing address
23 CORPORATE PLAZA DR STE 150-88, NEWPORT BEACH, CA 92660-7911
(562) 702-6922
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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