Organization
MILES PLACE, INC.
Active
Organization
MILES PLACE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REINER AVENDANO (MANAGER)
(949) 273-9951
Entity
Organization
Contact information
Practice address
25451 ADRIANA ST, MISSION VIEJO, CA 92691-3817
(949) 458-7869
Mailing address
25751 CHRISANTA DR, MISSION VIEJO, CA 92691-5607
(949) 273-9951
(844) 308-6564
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
306005754
CCLD
CA
01
—
306005765
CCLD
CA
01
—
306005766
CCLD
CA
Enumeration date
02/12/2020
Last updated
02/12/2020
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