Country Club Guest Home

NPI 1184013401 - Assisted Living Facility - 310400000X

NPI Details
NPI 1184013401
Enumeration Date 01/12/2015
Last Updated 01/12/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name MELANIE MELANIE
Position ADMINISTRATOR
Phone (760) 443-5795
Fax
Practice Location
25533 RUA MICHELLE
ESCONDIDO CA, 92026-8600, US
Phone (760) 443-5795
Fax
Business Location
25533 RUA MICHELLE
ESCONDIDO CA, 92026-8600, US
Phone (760) 443-5795
Fax
Toxanomy
Taxonomy Code 310400000X
License State California
License Number 372004630
Remove 1184013401 NPI Number
 

According to our database, Country Club Guest Home NPI is 1184013401, taxonomy code is 310400000X and license number is 372004630, license state is located at California. Country Club Guest Home physically located at 25533 Rua Michelle, Escondido CA, 92026-8600. NPI Number 1033115704 has the healthcare provider type.

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1184013401 NPI number is provided on an as is basis without warranty of any kind. 1184013401 is maintained by the National Plan & Provider Enumeration System. The contents of Country Club Guest Home are for informational purposes only.