Organization
PARADISE RESIDENTIAL CARE FACILITIES FOR THE ELDERLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FATTANEH MOGHADAM-YEKTA (LICENSED ADMINISTRATOR)
(858) 342-9104
Entity
Organization
Contact information
Practice address
1581 SYCAMORE DR, FALLBROOK, CA 92028-9100
(760) 728-1900
(760) 728-2225
Mailing address
PO BOX 503916, SAN DIEGO, CA 92150-3916
(760) 728-1900
(858) 672-5655
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
374601799
CA
385H00000X
Respite Care
374601799
CA
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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