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Organization
PARADISE ASSISTED CARE CORP
Active
Organization
PARADISE ASSISTED CARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUSANTA KAIYOM (ADMINISTRATOR)
(210) 724-2751
Entity
Organization
Contact information
Practice address
2177 17TH AVE, SANTA CRUZ, CA 95062-1809
(210) 724-2751
Mailing address
2177 17TH AVE, SANTA CRUZ, CA 95062-1809
(210) 724-2751
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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