Provider Demographics
NPI:1598315673
Name:360 ADULT DAYCARE CENTER
Entity Type:Organization
Organization Name:360 ADULT DAYCARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MESHREKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-337-4640
Mailing Address - Street 1:1800 N BUSH ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92706-2852
Mailing Address - Country:US
Mailing Address - Phone:714-337-4640
Mailing Address - Fax:
Practice Address - Street 1:1800 N BUSH ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92706-2852
Practice Address - Country:US
Practice Address - Phone:714-337-4640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-19
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care