Organization
RSCR CALIFORNIA, INC.
Active
Other names
Harbor Village
Organization subpart
No
Provider details
NPI number
Authorized official
DEENA OMBRES (PRIVACY OFFICER)
(502) 394-2387
Entity
Organization
Contact information
Practice address
2513 CHRISTOPHER LN, COSTA MESA, CA 92626-6793
(800) 866-0860
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTCX10117
—
CA
Enumeration date
05/18/2009
Last updated
01/19/2010
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