Organization
MAMA ANGELINA COCONOCHO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA ROSARIO GONZALEZ ADMINISTRATOR (CEO)
(951) 335-1239
Entity
Organization
Contact information
Practice address
862 PIKE DR, HEMET, CA 92544-7823
(951) 335-1239
(951) 305-6884
Mailing address
862 PIKE DR, HEMET, CA 92544-7823
(951) 335-1239
(951) 305-6884
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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