Organization
MIRAY LIFE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE PORCA (LICENSEE)
(310) 422-0950
Entity
Organization
Contact information
Practice address
3260 PINE AVE, LONG BEACH, CA 90807-5051
(310) 422-0950
Mailing address
3260 PINE AVE, LONG BEACH, CA 90807-5051
(310) 422-0950
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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