Organization
YIAYIAS CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONSUELO FUTRIS (OWNER)
(631) 336-7894
Entity
Organization
Contact information
Practice address
15886 INDIES CT, FOUNTAIN VALLEY, CA 92708-1113
(714) 274-2011
Mailing address
15886 INDIES CT, FOUNTAIN VALLEY, CA 92708-1113
(714) 274-2011
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
03/10/2016
Last updated
10/24/2016
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