Organization
ROSE-LUANN HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSALINDA C. ULIT (PRESIDENT)
(714) 496-9990
Entity
Organization
Contact information
Practice address
17231 REGULUS DR., YORBA LINDA, CA 92886
(714) 528-6187
(714) 996-9211
Mailing address
17231 REGULUS DR., YORBA LINDA, CA 92886
(714) 528-6187
(714) 996-9211
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
060000806
CA
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55G-439
CAL OPTIMA
CA
01
—
LTC80330F
MEDICAID LTC
CA
Enumeration date
10/27/2006
Last updated
09/25/2008
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