Organization · Type 2 NPI

Eclc Wake Forest Villa, Inc.

Custodial Care Facility · Costa Mesa, CA

NPI number 1619225570 Active

Practice location

233 Wake Forest Rd.
Costa Mesa, CA 92626-6446

Fax (949) 642-0622

Specialties and licenses

TaxonomyCodeLicense
Custodial Care Facility Primary 311Z00000X306001960 (CA)

Custodial Care Facility: A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or pa…

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About NPI 1619225570

Eclc Wake Forest Villa, Inc.'s National Provider Identifier is 1619225570, issued on Aug 27, 2012. The primary taxonomy on file is Custodial Care Facility (311Z00000X), and the practice location is in Costa Mesa, CA. The record was last updated on Aug 27, 2012.