Organization
ADEONA HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON GIRSKIS (BUSINESS OPERATION SPECIALIST)
(949) 359-8273
Entity
Organization
Contact information
Practice address
2815 STEELE CANYON RD, EL CAJON, CA 92019-4619
(949) 522-9553
(949) 943-1541
Mailing address
PO BOX 5705, SAN CLEMENTE, CA 92674-5705
(949) 625-0376
(949) 390-9889
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/28/2014
Last updated
10/19/2020
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