12072 TRASK, INC.
Nursing at Trask Ave, Garden Grove, CA

License number
California 38640058
Category
Nursing
Type
Skilled Nursing Facility
Owner
Name: MR. MARK URANGA
Title: ASSISTANT ADMINISTRATOR
Phone: (714) 534-1943
Address
Address
12072 Trask Ave, Garden Grove, CA 92843
National Provider ID: 1811923303
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about 12072 TRASK, INC. at bizstanding.com

12072 TRASK, INC

12072 Trask Ave, Garden Grove, CA 92843

Registration:
Nov 15, 1991
State ID:
C1804150
Agent:
Michael Adam Uranga,Garden Grove, CA 92843 (Physical)

Nursing licenses in California










Other Doctors licenses in California