Provider Demographics
NPI:1083341648
Name:DE HONOR FAMILY CORPORATION
Entity Type:Organization
Organization Name:DE HONOR FAMILY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:DE HONOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-342-8236
Mailing Address - Street 1:15005 LA FONDA DR
Mailing Address - Street 2:
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90638-4807
Mailing Address - Country:US
Mailing Address - Phone:714-342-8236
Mailing Address - Fax:
Practice Address - Street 1:15005 LA FONDA DR
Practice Address - Street 2:
Practice Address - City:LA MIRADA
Practice Address - State:CA
Practice Address - Zip Code:90638-4807
Practice Address - Country:US
Practice Address - Phone:714-342-8236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility