Organization
TWELVE STARS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA KAKO (OWNER/CORPORATE SECRETARY)
(619) 916-8529
Entity
Organization
Contact information
Practice address
9158 FLETCHER PKWY, LA MESA, CA 91942-3449
(619) 357-7753
(619) 439-6038
Mailing address
14883 CRYSTAL VIEW RD, EL CAJON, CA 92021-2804
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251J00000X
Nursing Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
04/13/2023
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