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Organization
SUSAN'S LOVING ADULT CARE
Active
Organization
SUSAN'S LOVING ADULT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FATEMEH AYOUGHI PH.D (OWNER)
(949) 351-0975
Entity
Organization
Contact information
Practice address
26515 SALAMANCA DR., MISSION VIEJO, CA 92691
(949) 351-0975
Mailing address
26515 SALAMANCA DR., MISSION VIEJO, CA 92691
(949) 351-0975
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
20106250411
CA
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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