Organization
DT BEACH INC. DBA BEACH HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW BEACH (LICENSEE)
(949) 302-0180
Entity
Organization
Contact information
Practice address
2575 COLUMBIA DR, COSTA MESA, CA 92626-6176
(949) 302-0180
Mailing address
2575 COLUMBIA DR, COSTA MESA, CA 92626-6176
(949) 302-0180
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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