Organization
CASA PACIFICA
Active
Other names
FREEDOM VILLAGE
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ROSKAMP (OWNER/CEO)
(949) 489-0430
Entity
Organization
Contact information
Practice address
23442 EL TORO RD, LAKE FOREST, CA 92630-6979
(949) 472-4700
(949) 855-0428
Mailing address
23442 EL TORO RD, LAKE FOREST, CA 92630-6979
(949) 472-4700
(949) 855-0428
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
300606831
CA
314000000X
Skilled Nursing Facility
Primary
060000246
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
555391
—
CA
Enumeration date
12/20/2006
Last updated
06/18/2024
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