NPI 1093384489
Emerald Coast Healthcare, LLC
Practice location
- Address
- 3495 Jefferson St, Riverside, CA 92504-3519
- Phone
- (949) 397-0658
- Mailing address
- 27702 Crown Valley Pkwy STE D4 Box 151, Ladera Ranch, CA 92694-0613
Authorised official
- Name
- Adam Cortland Green
- Title
- Owner
- Phone
- (949) 397-0658
Registered specialties
Nursing Facility/Intermediate Care Facility
Primary
Registry record
- NPI
- 1093384489
- Entity type
- Organization
- NPI issued
- 21 Jun 2021
- Record last updated
- 21 Jun 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.