Organization
FOUNTAIN VALLEY SENIOR HOMES LLC
Active
Other names
Fountain Valley Senior Homes 2
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ULDARICO ALMIRANEZ (ADMINISTRATOR)
(949) 290-6006
Entity
Organization
Contact information
Practice address
18561 SANTA ISADORA ST, FOUNTAIN VALLEY, CA 92708-6212
(949) 290-6006
(714) 982-3433
Mailing address
1123 SANDI LN, COSTA MESA, CA 92627-3964
(949) 290-6006
(714) 982-3433
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
306005475
DEPT OF SOCIAL SERVICES CCLD
CA
Enumeration date
05/02/2019
Last updated
06/11/2019
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