# ITALIAN MAPLE HOLDINGS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** La Paloma Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265462436
- **Authorized official:** MR. JOHN MITCHELL (SECRETARY)
- **Authorized official phone:** (385) 988-3319

## Contact information

- **Practice address:** 3232 THUNDER DR, OCEANSIDE, CA 92056-4447
- **Practice address phone:** (760) 724-2193
- **Practice address fax:** (760) 724-0085
- **Mailing address:** 262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 080000100 | CA | Yes |

## Other

- **Enumeration date:** 07/04/2006
- **Last updated:** 08/20/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1265462436 | — | CA |
| 05 | — | ZZTO5335H | — | CA |