Organization
OBEA SENIOR LIVING LLC
Active
Other names
ACASA SENIOR CARE NEWPORT BEACH
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES KOFI ASARE (DIRECTOR OF OPERATIONS)
(949) 779-2288
Entity
Organization
Contact information
Practice address
765 NORTH MAIN STREET, #150, CORONA, CA 92878
(949) 779-2288
(949) 393-0013
Mailing address
765 NORTH MAIN STREET, #150, CORONA, CA 92878
(949) 779-2288
(949) 393-0013
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
304700327
HOME CARE ORGANISATION NUM
CA
Enumeration date
12/02/2022
Last updated
12/02/2022
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