Organization
CARNELIAN VILLAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JING DAISY STRUVE (MANAGER)
(818) 395-6037
Entity
Organization
Contact information
Practice address
1773 S CARNELIAN ST, ANAHEIM, CA 92802-2402
(818) 395-6037
(818) 301-0042
Mailing address
3117 MARIGOLD CIR, DIAMOND BAR, CA 91765-3778
(818) 395-6037
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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