Organization
CRESENCIA CARE HOME LLC
Active
Organization
CRESENCIA CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RESTITUTO LUMBA CALILUNG (OWNER/ADMINISTRATOR)
(714) 906-6046
Entity
Organization
Contact information
Practice address
1785 HONORS LN, CORONA, CA 92883-0759
(951) 427-5086
(951) 547-1369
Mailing address
1785 HONORS LN, CORONA, CA 92883-0759
(951) 427-5086
(951) 547-1369
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
336427417
CA
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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