Organization
SUPPORTIVE CARE SERVICES
Active
Other names
360 CBAS Center
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA NGUYEN (PRESIDENT)
(714) 901-0111
Entity
Organization
Contact information
Practice address
14361 BEACH BLVD STE 105, WESTMINSTER, CA 92683-4568
(714) 901-0111
Mailing address
14361 BEACH BLVD STE 105, WESTMINSTER, CA 92683-4568
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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