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Organization

PACIFIC SUN SENIOR CARE

Active
Parent organization
GRAND PACIFIC SUN LLC
Other names
Pacifica Cottage
Organization subpart
Yes

Provider details

NPI number
Legal business name
GRAND PACIFIC SUN LLC
Authorized official
MUQEET DADABHOY (MANAGING DIRECTOR)
(310) 251-2382
Entity
Organization

Contact information

Practice address
24532 SPARTAN ST, MISSION VIEJO, CA 92691-4529
(310) 251-2382
Mailing address
PO BOX 7785, TORRANCE, CA 90504-9185
(310) 251-2382

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
05/21/2024
Last updated
06/05/2024
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