Organization
CARE OPTIONS ONE
Active
Organization
CARE OPTIONS ONE
Active
Other names
First Family Trust Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL I IMOESIRI B.A.,R.N.A. (C.A.LICENSED PROGRAM ADMINISTRATOR)
(818) 629-8678
Entity
Organization
Contact information
Practice address
439 ROBINSON DR, TUSTIN, CA 92782-0907
(818) 629-8678
Mailing address
12632 CROSSDALE AVE, NORWALK, CA 90650-2671
(818) 629-8678
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
6031197740
CA
311ZA0620X
Adult Care Home Facility
6031197740
CA
315D00000X
Inpatient Hospice
Primary
6031197740
CA
320700000X
Physical Disabilities Residential Treatment Facility
6031197740
CA
Other
Enumeration date
04/16/2016
Last updated
04/16/2016
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