Organization
ASPEN VILLA
Active
Other names
Aspen Villa
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAM ALAMOUTINIA (ADMINISTRATOR)
(949) 648-9205
Entity
Organization
Contact information
Practice address
25411 CHAMPLAIN RD, LAGUNA HILLS, CA 92653-5441
(949) 648-9205
Mailing address
25411 CHAMPLAIN RD, LAGUNA HILLS, CA 92653-5441
(949) 648-9205
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
08/17/2023
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