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Organization

FULLERTON PLAZA GUEST HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SEAN GARLO MANGURAY (OWNER)
(657) 387-9603
Entity
Organization

Contact information

Practice address
3931 MADONNA DR, FULLERTON, CA 92835-1229
(657) 387-9603
Mailing address
3931 MADONNA DR, FULLERTON, CA 92835-1229
(657) 387-9603

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
11/04/2021
Last updated
11/04/2021
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