Organization
MARAVA CORPORATION
Active
Other names
ISABEL CARE HOME
Organization subpart
No
Provider details
NPI number
Authorized official
CELSO AVARICIO (ADMINISTRATOR)
(707) 554-3305
Entity
Organization
Contact information
Practice address
441 N CAMINO ALTO, VALLEJO, CA 94590-3313
(707) 554-3305
Mailing address
441 N CAMINO ALTO, VALLEJO, CA 94590-3313
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
486801778
CA
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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