Signature Residence, INC
NPI #1063045391 in Corona Del Mar, California
Provider Information
- NPI Number
- 1063045391
- Entity Type
- Organization
- Organization Name
- Signature Residence, INC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Feb 14, 2020
- Last Updated
- Feb 14, 2020
Practice Location
- Address
- 2727 WAVECREST DR
- City
- Corona Del Mar
- State
- California
- ZIP Code
- 92625-1326
- Phone
- (949) 220-1412
Authorized Official
- Name
- KOLALEH FARIS
- Title
- PRESIDENT
- Phone
- (949) 510-5968
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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