Organization
NEWPORT REHABILITATION AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE GOODMAN (PRESIDENT)
(714) 771-5276
Entity
Organization
Contact information
Practice address
7732 E SANTIAGO CANYON RD, ORANGE, CA 92869-1829
(714) 771-5276
(714) 771-1452
Mailing address
7732 E SANTIAGO CANYON RD, ORANGE, CA 92869-1829
(714) 771-5276
(714) 771-1452
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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