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Organization

WECARE RESIDENTIAL CARE FACILITY INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANGEL CLARENCE MONDEJAR TESORO V (ADMINISTRATOR FOR RCFE)
(714) 284-0062
Entity
Organization

Contact information

Practice address
1904 W RANDOM DR, ANAHEIM, CA 92804-3537
(714) 284-0062
Mailing address
1904 W RANDOM DR, ANAHEIM, CA 92804-3537
(714) 284-0062

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
306005450
RESIDENTIAL CARE FACILITY FOR ELDERLY
Enumeration date
05/09/2019
Last updated
05/09/2019
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