Organization
ITALIAN MAPLE HOLDINGS, LLC
Active
Other names
La Paloma Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MITCHELL (SECRETARY)
(385) 988-3319
Entity
Organization
Contact information
Practice address
3232 THUNDER DR, OCEANSIDE, CA 92056-4447
(760) 724-2193
(760) 724-0085
Mailing address
262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
080000100
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265462436
—
CA
05
—
ZZTO5335H
—
CA
Enumeration date
07/04/2006
Last updated
08/20/2024
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