Organization
PHV 3 RCFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL LACSON (COO)
(714) 519-5878
Entity
Organization
Contact information
Practice address
26791 MORENA DR, MISSION VIEJO, CA 92691-6140
(714) 519-5878
Mailing address
26791 MORENA DR, MISSION VIEJO, CA 92691-6140
(714) 519-5878
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/28/2024
Last updated
09/28/2024
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