Organization
ANDROMEDA ESCAPE
Active
Other names
Sapphire Pacific
Organization subpart
No
Provider details
NPI number
Authorized official
ALI NAGHIBI (CEO)
(714) 322-1910
Entity
Organization
Contact information
Practice address
17207 BUTTONWOOD ST, FOUNTAIN VALLEY, CA 92708-3508
(619) 919-4919
(866) 602-7153
Mailing address
17207 BUTTONWOOD ST, FOUNTAIN VALLEY, CA 92708-3508
(619) 919-4919
(866) 602-7153
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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