Organization
ABUNDANT GRACE CARE VILLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA DOMPREH-MENSAH (LICENSEE/ADMINISTRATOR)
(562) 774-6297
Entity
Organization
Contact information
Practice address
9672 COLONY ST, ANAHEIM, CA 92804-3475
(562) 774-6297
(562) 381-9333
Mailing address
13915 FIDLER AVE, BELLFLOWER, CA 90706-2235
(562) 774-6297
(562) 381-9333
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/12/2023
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