Organization
WILLARD PEAK GROUP HOME, INC.
Active
Other names
Rising Adventure Community Services
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
29222 RANCHO VIEJO RD STE 127, SAN JUAN CAPISTRANO, CA 92675-1049
(949) 540-1249
(949) 540-1966
Mailing address
29222 RANCHO VIEJO RD STE 127, SAN JUAN CAPISTRANO, CA 92675-1049
(949) 540-1249
(949) 540-1966
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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