Organization
CARVER SENIOR HOMES LLC
Active
Other names
Carver Senior Homes 2
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGILIO DE GUZMAN (MANAGING MEMBER)
(714) 401-2689
Entity
Organization
Contact information
Practice address
17581 SHANE WAY, YORBA LINDA, CA 92886-5156
(714) 401-2689
Mailing address
17581 SHANE WAY, YORBA LINDA, CA 92886-5156
(714) 401-2689
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
306005639
CCLD
CA
Enumeration date
09/14/2020
Last updated
09/14/2020
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