| NPI | 1639992266 |
|---|---|
| Other Name | COBBLE CREEK CONGREGATE LIVING |
| Entity Type | Organization |
| Authorized Contact | MARC TANG CEO 949-235-6269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-04 |