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The information below reflects the content of the TMIS information system as of the close of the previous business day. |
| Carrier ID | CA 0102693 |
| Carrier Status | Active - 11/01/95 |
| Carrier Name | LAKE FOREST NURSING CENTER |
| Phone Number | (714) 380-9380 |
| Contact Address |
EXECUTIVE DIRECTOR 25652 OLD TRABUCO RD LAKE FOREST, CA 92630 |
| Physical Address |
25652 OLD TRABUCO RD LAKE FOREST, CA 92630 |
| INSURANCE POLICIES | ||
| Policy Type | Policy Number | Insurance Company Address |
| PL and PD Policy | MWTB17901 | OLD REPUBLIC INSR CO P O BOX 789 GREENSBURG, PA 15601 |