Organization
MILLIES PARADISE HOMES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MILLIE ANN SMITH (OWNER)
(707) 554-4005
Entity
Organization
Contact information
Practice address
312 DONCASTER DR, VALLEJO, CA 94590
(707) 554-4005
(707) 554-0604
Mailing address
1530 SOLANO AVE, VALLEJO, CA 94590-5761
(707) 554-4005
(707) 554-0604
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
010000301
CA
Other
Enumeration date
12/24/2007
Last updated
10/15/2014
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