Organization · Type 2 NPI
Resurgence California, LLC
Physical Disabilities Residential Treatment Facility · Costa Mesa, CA
NPI number
1144873308
Active
Practice location
3129 Pierce Ave
Costa Mesa, CA 92626-2827
Fax (949) 209-5490
Mailing address
3151 Airway Ave Ste E1
Costa Mesa, CA 92626-4620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Disabilities Residential Treatment Facility Primary | 320700000X | None listed |
Physical Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
Another provider at this address
Other physical disabilities residential treatment facility providers in Costa Mesa
About NPI 1144873308
Resurgence California, LLC's National Provider Identifier is 1144873308, issued on Jul 17, 2019. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Costa Mesa, CA. The record was last updated on Jul 17, 2019.