Cross Creek Care, Inc

NPI 1144613142 - Assisted Living Facility - 310400000X

NPI Details
NPI 1144613142
Enumeration Date 03/15/2015
Last Updated 03/15/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name WINFRED WINFRED
Position OWNER/ADMINISTRATOR
Phone (949) 722-1014
Fax (949) 631-5205
Practice Location
138 E 18TH ST
COSTA MESA CA, 92627-3035, US
Phone (949) 722-1014
Fax (949) 631-5205
Business Location
138 E 18TH ST
COSTA MESA CA, 92627-3035, US
Phone (949) 722-1014
Fax (949) 631-5205
Toxanomy
Taxonomy Code 310400000X
License State California
License Number 306000888
Remove 1144613142 NPI Number
 

According to our database, Cross Creek Care, Inc NPI is 1144613142, taxonomy code is 310400000X and license number is 306000888, license state is located at California. Cross Creek Care, Inc physically located at 138 E 18th St, Costa Mesa CA, 92627-3035. NPI Number 1033115704 has the healthcare provider type.

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1144613142 NPI number is provided on an as is basis without warranty of any kind. 1144613142 is maintained by the National Plan & Provider Enumeration System. The contents of Cross Creek Care, Inc are for informational purposes only.