Organization
MIRAJOY RESIDENTIAL CARE FACILITIES INC
Active
Other names
MIRAJOY HOME 1
Organization subpart
No
Provider details
NPI number
Authorized official
JULIANA CAMPOS CONCEPCION (ADMINISTRATOR)
(949) 636-2478
Entity
Organization
Contact information
Practice address
23711 PROSPECT VALLEY DR, DIAMOND BAR, CA 91765-1637
(909) 860-2150
(909) 860-2150
Mailing address
25376 MAXIMUS ST, MISSION VIEJO, CA 92691-4518
(949) 636-2478
(949) 587-9453
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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