Organization
MOM'S HAVEN SENIOR CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANALISA AMBAT CAYABYAB (LICENSEE)
(760) 218-8906
Entity
Organization
Contact information
Practice address
30758 BLOOMSBURY LANE, CATHEDRAL CITY, CA 92244
(760) 699-5398
Mailing address
30758 BLOOMSBURY LANE, CATHEDRAL, CA 92244
(760) 699-5398
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
336425569
CA
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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