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Organization
NUZON CORPORATION
Active
Organization
NUZON CORPORATION
Active
Other names
Recodo Lane Home
Organization subpart
No
Provider details
NPI number
Authorized official
LILIBETH D ORTIZ RN (ADMINISTRATOR/LICENSEE)
(949) 768-8951
Entity
Organization
Contact information
Practice address
26961 RECODO LN, MISSION VIEJO, CA 92691-6004
(949) 768-8951
Mailing address
19 AURORE AVE, FOOTHILL RANCH, CA 92610-2321
(949) 768-8951
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
PENDING
—
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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