Organization · Type 2 NPI
Mom's Retreat Board & Care Home , LLC
Assisted Living Facility · Fullerton, CA
NPI number
1881369742
Active
Practice location
607 S Pine Dr
Fullerton, CA 92833-3633
Fax (888) 459-2407
Mailing address
204 E Ellsworth Ave
Anaheim, CA 92805-4711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: 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.
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About NPI 1881369742
Mom's Retreat Board & Care Home , LLC's National Provider Identifier is 1881369742, issued on Aug 12, 2021. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Fullerton, CA. The record was last updated on Aug 12, 2021.