Provider Demographics
NPI:1417842279
Name:A TOUCH OF CARE AT CANNON LLC
Entity type:Organization
Organization Name:A TOUCH OF CARE AT CANNON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSEE
Authorized Official - Prefix:
Authorized Official - First Name:JUNDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:QUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-269-6358
Mailing Address - Street 1:1427 N CANNON ST
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92869-1306
Mailing Address - Country:US
Mailing Address - Phone:661-269-6358
Mailing Address - Fax:
Practice Address - Street 1:1427 N CANNON ST
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92869-1306
Practice Address - Country:US
Practice Address - Phone:661-269-6358
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility