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Organization

MOM'S RETREAT BOARD & CARE HOME , LLC

Active
Other names
Mom's Retreat Board & Care Home
Organization subpart
No

Provider details

NPI number
Authorized official
MS. GABRIELA GARCIA (LICENSEE/ADMINISTRATOR)
(714) 770-0625
Entity
Organization

Contact information

Practice address
607 S PINE DR, FULLERTON, CA 92833-3633
(714) 770-0645
(888) 459-2407
Mailing address
204 E ELLSWORTH AVE, ANAHEIM, CA 92805-4711
(714) 829-6024
(888) 459-2407

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
08/12/2021
Last updated
08/12/2021
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