| NPI | 1376983312 |
|---|---|
| Doing Business As | LAKE RIDGE SENIOR LIVING |
| Entity Type | Organization |
| Authorized Contact | SOON BURNAM Treasurer 949-540-1249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: UT 2013-ALI-UT207208) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: UT 2013-ALII-UT207236) |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2023-05-08 |