Organization
ORCHID COURT INC
Active
Parent organization
ORCHID COURT INC
Other names
Camelot Adult Day Health Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORCHID COURT INC
Authorized official
MRS. ELISA RILLO GOSUICO (ADMINISTRATOR)
(909) 884-3044
Entity
Organization
Contact information
Practice address
650 CAMINO REAL CIRCLE, HEMET, CA 92543-2608
(951) 766-7840
(951) 766-7034
Mailing address
650 CAMINO REAL CIRCLE, HEMET, CA 92543-2608
(951) 766-7840
(951) 766-7034
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
060000924
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ADU70403F
—
CA
Enumeration date
05/22/2007
Last updated
07/14/2008
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