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Organization
PA ENTERPRISES, INC.
Active
Organization
PA ENTERPRISES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REGINALD WASHINGTON (CEO)
(760) 828-7002
Entity
Organization
Contact information
Practice address
7931 BROADWAY, LEMON GROVE, CA 91945-1809
(760) 828-7002
Mailing address
PO BOX 261134, SAN DIEGO, CA 92196-1134
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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