Organization
MIRAMONTE ENTERPRISES
Active
Other names
San Jacinto Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMANUEL B. DAVID (MANAGING MEMBER)
(310) 782-1878
Entity
Organization
Contact information
Practice address
275 N SAN JACINTO ST, HEMET, CA 92543-4453
(951) 658-9441
Mailing address
275 N SAN JACINTO ST, HEMET, CA 92543-4453
(951) 658-9441
(951) 766-1908
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NOT AVAILABLE
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05223L
—
CA
Enumeration date
09/07/2010
Last updated
03/28/2022
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