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Organization
CRF
Active
Organization
CRF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN ROSELA I (HR MANAGER)
(619) 275-1944
Entity
Organization
Contact information
Practice address
1738 S TREMONT ST, OCEANSIDE, CA 92054-5309
(760) 439-2800
Mailing address
1738 S TREMONT ST, OCEANSIDE, CA 92054-5309
(760) 439-2800
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
164XOOOOOX
CA
Other
Enumeration date
07/27/2012
Last updated
08/08/2012
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