Eclc Wake Forest Villa, Inc
Eclc Wake Forest Villa, Inc is a Custodial Care Facility in Costa Mesa, California. Licensed in California. Registered with an NPI since 2012.
- Licensed in
- CA
- In the registry since
- 2012
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
233 Wake Forest RdCosta Mesa, CA 92626-6446
Phone: (714) 434-9489
Fax: (949) 642-0622
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Custodial Care Facility (primary) | Taxonomy 311Z00000X · Licence 306001960 (CA) |
|---|
Record details
| NPI number | 1619225570 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Angelita David — Administrator · (714) 434-9489 |
| NPI enumerated | August 27, 2012 |
| Last updated in NPPES | August 27, 2012 |
| Mailing address | 233 Wake Forest Rd., Costa Mesa, CA 92626-6446 |
Other providers in Costa Mesa
-
Eclc Residence, Inc
2279 Avalon St, Costa Mesa, CA 92626-6446 · (949) 642-2906