Organization
FOUNTAIN VALLEY SENIOR HOMES LLC
Active
Parent organization
FOUNTAIN VALLEY SENIOR HOMES LLC
Other names
Fountain Valley Senior Homes
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOUNTAIN VALLEY SENIOR HOMES LLC
Authorized official
ULDARICO BANAGAN ALMIRANEZ (ADMINISTRATOR)
(949) 290-6006
Entity
Organization
Contact information
Practice address
18561 SANTA ISADORA ST, FOUNTAIN VALLEY, CA 92708-6212
(657) 464-9805
Mailing address
18561 SANTA ISADORA ST, FOUNTAIN VALLEY, CA 92708-6212
(657) 464-9805
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
306005441
CCLD
CA
Enumeration date
01/10/2020
Last updated
01/10/2020
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