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Organization
CHUQUIMIA'S ENTERPRISES INCORPORATED
Active
Organization
CHUQUIMIA'S ENTERPRISES INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LIDIA OLGA CHUQUIMIA (PRESIDENT/CEO)
(951) 776-9094
Entity
Organization
Contact information
Practice address
16465 PICK PL, RIVERSIDE, CA 92504-5641
(951) 789-2948
Mailing address
16465 PICK PL, RIVERSIDE, CA 92504-5641
(951) 789-2948
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
336408330
CA
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
336408331
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90152422A37214
—
CA
05
—
90439088A95031
—
CA
05
—
90874633A85192
—
CA
05
—
91847614A05192
—
CA
05
—
92173381A85048
—
CA
05
—
95313448A15047
—
CA
Enumeration date
03/13/2014
Last updated
03/13/2014
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