| NPI | 1639205925 |
|---|---|
| Doing Business As | WAGNER HEIGHTS RESIDENTIAL |
| Entity Type | Organization |
| Authorized Contact | CAROL SPARKS Director Of Reimbursement 949-349-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 397000308) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2022-03-16 |