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General NPI Number Information
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NPI Number | 1013840552
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Entity Type | Organization
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Legal Business Name | LAKE ELSINORE CONGREGATE CARE INC.
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 33450 WALHAM PL
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City | LAKE ELSINORE
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State | CA
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Zip | 92530-5612
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Country | US
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Telephone | 626-277-9032
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Fax |
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Provider Business Mailing Address
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Address Line | 6333 PLUM AVE
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City | EASTVALE
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State | CA
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Zip | 92880-8913
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Country | US
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Telephone | 626-277-9032
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | MS. JACLYN ELAINE ARGAO ROJAS
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Credential | NP
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Telephone | 626-277-9032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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