Healthcare Provider Details

I. General information

NPI: 1376130047
Provider Name (Legal Business Name): DEDICATED TO SERVICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2020
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24961 SOUTHPORT ST
LAGUNA HILLS CA
92653-4924
US

IV. Provider business mailing address

22871 RIDGE ROUTE LN
LAKE FOREST CA
92630-3675
US

V. Phone/Fax

Practice location:
  • Phone: 949-305-6133
  • Fax:
Mailing address:
  • Phone: 949-683-8736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: HERMINIA ZUEHL
Title or Position: LICENSEE/OWNER
Credential:
Phone: 949-683-8736