Organization
COUNTRY CLUB GUEST HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE CUARESMA (ADMINISTRATOR)
(760) 443-5795
Entity
Organization
Contact information
Practice address
25533 RUA MICHELLE, ESCONDIDO, CA 92026-8600
(760) 443-5795
Mailing address
25533 RUA MICHELLE, ESCONDIDO, CA 92026-8600
(760) 443-5795
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
372004630
CA
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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