Lantern of Crescent City, LLC
NPI #1174921050 in Laguna Beach, California
Provider Information
- NPI Number
- 1174921050
- Entity Type
- Organization
- Organization Name
- Lantern of Crescent City, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SRSO, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 9, 2014
- Last Updated
- Dec 9, 2014
Practice Location
- Address
- 4 S STONINGTON RD
- City
- Laguna Beach
- State
- California
- ZIP Code
- 92651-6741
- Phone
- (949) 445-1000
Authorized Official
- Name
- SPENCER ROBERT SAMUELIAN
- Title
- MANAGER
- Phone
- (949) 445-1000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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