Organization
CARROLLS COMMUNITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE NICOL FURTADO (ADMINISTRATOR)
(619) 442-8893
Entity
Organization
Contact information
Practice address
523 EMERALD AVE, EL CAJON, CA 92020-5005
(619) 442-8893
(619) 442-6049
Mailing address
523 EMERALD AVE, EL CAJON, CA 92020-5005
(619) 442-8893
(619) 442-6049
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
370802857
CA
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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