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Organization

KOOL LIVING, INC.

Active
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Organization

KOOL LIVING, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICHOLAS RUSSI (CEO)
(951) 427-4807
Entity
Organization

Contact information

Practice address
26421 CROWN VALLEY PKWY, MISSION VIEJO, CA 92691-8564
(951) 427-4807
Mailing address
20138 ELKWOOD ST, WINNETKA, CA 91306-2312

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
300332DP
CA

Other

Enumeration date
10/28/2015
Last updated
11/14/2017
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