Organization
AVID IN-HOME RESPITE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA MAHARAJ (CEO)
(760) 498-4931
Entity
Organization
Contact information
Practice address
562 W GRAND AVE, ESCONDIDO, CA 92025-2502
(760) 498-4931
(442) 999-5740
Mailing address
562 W GRAND AVE, ESCONDIDO, CA 92025-2502
(760) 498-4931
(442) 999-5740
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
01/25/2019
Last updated
02/03/2021
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