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Organization

RYAN'S WAY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMIE O'CONNOR FLOREZ (CEO)
(619) 852-3811
Entity
Organization

Contact information

Practice address
3453 AVELEY PL, SAN DIEGO, CA 92111-4727
(858) 541-2632
(858) 541-2663
Mailing address
PO BOX 212678, CHULA VISTA, CA 91921-2678
(619) 852-3811
(619) 216-0587

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
090000644
CA

Other

Enumeration date
11/30/2009
Last updated
11/30/2009
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