CRESENCIA CARE HOME LLC NPI 1639539695

NPI Information

CRESENCIA CARE HOME LLC is an assisted living facility in Corona, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. CRESENCIA CARE HOME LLC NPI is 1639539695. The provider is registered as an organization entity type.

The provider's business location address is:

1785 HONORS LN
CORONA, CA
ZIP 92883-759
Phone: (951) 427-5086
Fax: (951) 547-1369

The provider's authorized official is Restituto Lumba Calilung .
The authorized official title is Owner/administrator and has the following contact phone number (714) 906-6046.

The enumeration date for this NPI number is 3/3/2016 and was last updated on 3/3/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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