Organization
NEWPORT CONGREGATE LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRELA ANDRONESI (ADMINISTRATOR)
(714) 679-0457
Entity
Organization
Contact information
Practice address
466 E 16TH ST, COSTA MESA, CA 92627-3266
(714) 679-0457
Mailing address
18791 MURIEL PL, SANTA ANA, CA 92705-2844
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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