Organization
NANA'S GARDEN 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIGITTE FISK (OWNER/ADMINISTRATOR)
(949) 295-3555
Entity
Organization
Contact information
Practice address
25312 ERICSON WAY, LAGUNA HILLS, CA 92653-5054
(949) 916-2928
Mailing address
25312 ERICSON WAY, LAGUNA HILLS, CA 92653-5054
(949) 916-2928
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
11/13/2020
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