Organization
INGLEWOOD COMMUNITY ADHC
Active
Other names
Magnolia Adult Day Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
NATALY KOURABI (OWNER/CEO)
(310) 266-6494
Entity
Organization
Contact information
Practice address
490 M. MAGNOLIA AVE, EL CAJON, CA 92020
(619) 444-1522
(619) 444-1516
Mailing address
490 M. MAGNOLIA AVE, EL CAJON, CA 92020
(619) 444-1522
(619) 444-1516
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060000821
LICENSE
CA
01
—
ADU70302F
PROVIDER NUMBER
CA
Enumeration date
05/22/2007
Last updated
02/03/2023
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