Organization
MADISON CARE CENTER, LLC
Active
Other names
Madison Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DIANNE FAYE THIBODEAU (ADMINISTRATOR)
(619) 444-1107
Entity
Organization
Contact information
Practice address
1391 E MADISON AVE, EL CAJON, CA 92021-8568
(619) 444-1107
(619) 444-1403
Mailing address
1391 E MADISON AVE, EL CAJON, CA 92021-8568
(619) 444-1107
(619) 444-1403
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05064H
—
CA
Enumeration date
11/10/2005
Last updated
08/22/2020
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