Organization
ELIAA, LLC
Active
Other names
A & J Residential Care Facility
Organization subpart
No
Provider details
NPI number
Authorized official
AMIRRA YOUNES (ADMINISTRATOR)
(650) 656-7941
Entity
Organization
Contact information
Practice address
1229 KELLEY AVENUE, CORONA, CA 92882-4207
(951) 339-9834
(951) 339-9834
Mailing address
1229 KELLEY AVENUE, CORONA, CA 92882-4207
(951) 339-9834
(951) 339-9834
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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