Organization
CARE CHARLIZE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAN MEJIA (MANAGING MEMBER)
(949) 394-8708
Entity
Organization
Contact information
Practice address
17602 AMAGANSET WAY, TUSTIN, CA 92780-2514
(714) 368-4659
(714) 982-3348
Mailing address
4931 CARTHAGE ST, PLACENTIA, CA 92870-3004
(949) 394-8708
(714) 982-3348
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
306006306
CDSS
CA
Enumeration date
01/31/2024
Last updated
01/31/2024
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