Organization
SP MARAVILLA LLC
Active
Other names
Maravilla
Organization subpart
No
Provider details
NPI number
Authorized official
MR. J WICKLIFFE PETERSON (EXECUTIVE VICE PRESID)
(858) 792-9300
Entity
Organization
Contact information
Practice address
5486 CALLE REAL, SANTA BARBARA, CA 93111-1645
(805) 967-1965
Mailing address
5486 CALLE REAL, SANTA BARBARA, CA 93111-1645
(805) 967-1965
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
428501038
CA
Other
Enumeration date
03/27/2009
Last updated
03/27/2009
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