Organization
GRANADA CARE INC
Active
Other names
Active Adult Day Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEVI RAICHIX (OWNER ADMINISTRATOR)
(562) 426-7772
Entity
Organization
Contact information
Practice address
2385 PACIFIC AVE, LONG BEACH, CA 90806
(562) 426-7772
(562) 426-0797
Mailing address
2385 PACIFIC AVE, LONG BEACH, CA 90806
(562) 426-7772
(562) 426-0797
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ADU70174F
—
CA
Enumeration date
11/02/2006
Last updated
08/22/2020
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