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Organization

REAL SWEET HOME

Active
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Organization

REAL SWEET HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FEDELIA DIAZ (LICENSEE)
(951) 943-8762
Entity
Organization

Contact information

Practice address
20905 EL NIDO AVE, PERRIS, CA 92571-8806
(951) 943-8762
Mailing address
20905 EL NIDO AVE, PERRIS, CA 92571-8806
(951) 943-8762

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
07/27/2022
Last updated
07/27/2022
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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