Organization
SAINT BENEDICT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ULDARICO BANAGAN ALMIRANEZ (LICENSEE/ADMINISTRATOR)
(949) 290-6006
Entity
Organization
Contact information
Practice address
8925 CANARY AVE, FOUNTAIN VALLEY, CA 92708-6324
(657) 845-4355
(714) 982-3433
Mailing address
8925 CANARY AVE, FOUNTAIN VALLEY, CA 92708-6324
(657) 845-4355
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
306005478
CCLD-FACILITY NUMBER
CA
Enumeration date
06/05/2019
Last updated
06/05/2019
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