Organization
CORE CARE V A CA LIMITED
Active
Other names
Park Vista at Morningside
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELWOOD J. WILSON III (PRESIDENT)
(760) 704-6255
Entity
Organization
Contact information
Practice address
2525 BREA BLVD, FULLERTON, CA 92835-2787
(714) 256-1000
(714) 256-8014
Mailing address
2525 BREA BLVD, FULLERTON, CA 92835-2787
(714) 256-1000
(714) 256-8014
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
300613274
CA
314000000X
Skilled Nursing Facility
Primary
060000329
CA
Other
Enumeration date
11/02/2005
Last updated
10/13/2016
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