Organization
ADELINE'S GUEST HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADELINE MONCERA (ADMINISTRATOR)
(714) 504-0697
Entity
Organization
Contact information
Practice address
741 N EAST ST, ANAHEIM, CA 92805-2134
(714) 504-0697
Mailing address
741 N EAST ST, ANAHEIM, CA 92805-2134
(714) 504-0697
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
306003507
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
306003507
COMMUNITY CARE LICENSING
CA
Enumeration date
06/03/2016
Last updated
06/03/2016
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