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Organization
MADISON CARE CENTER, LLC
Active
Organization
MADISON CARE CENTER, LLC
Active
Other names
Madison Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DIANNE FAYE THIBODEAU (ADMINISTRATOR)
(619) 444-1107
Entity
Organization
Contact information
Practice address
1391 E MADISON AVE, EL CAJON, CA 92021-8568
(619) 444-1107
(619) 444-1403
Mailing address
1391 E MADISON AVE, EL CAJON, CA 92021-8568
(619) 444-1107
(619) 444-1403
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05064H
—
CA
Enumeration date
11/10/2005
Last updated
08/22/2020
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