Organization
CLAIREMONT VILLA ADULT DAY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER AVERGOON (CEO/OWNER)
(858) 337-5483
Entity
Organization
Contact information
Practice address
10174 OLD GROVE RD STE 100, STE. 101, SAN DIEGO, CA 92131
(858) 576-8575
(858) 576-8424
Mailing address
10174 OLD GROVE RD STE 100, STE 101, SAN DIEGO, CA 92131
(858) 576-8575
(858) 576-8424
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
CA
Other
Enumeration date
01/04/2007
Last updated
03/25/2016
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