Organization
MOONRISE HEALTHCARE, INC.
Active
Other names
Edgewater Skilled Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
2625 E 4TH ST, LONG BEACH, CA 90814-1205
(562) 434-0974
Mailing address
2625 E 4TH ST, LONG BEACH, CA 90814-1205
(562) 434-0974
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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