Organization
MJSQUARED LLC
Active
Other names
Carabelle Seniors Home
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPHINE DIO (ADMINISTRATOR)
(323) 574-6122
Entity
Organization
Contact information
Practice address
920 SACRAMENTO AVE, SPRING VALLEY, CA 91977-4938
(619) 203-7333
Mailing address
2570 FERN VALLEY RD, CHULA VISTA, CA 91915-1560
(619) 370-8860
(619) 934-8965
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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