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Organization

JGELT CORPORATION

Active
Other names
Casa Pacifica ADHC Center
Organization subpart
No

Provider details

NPI number
Authorized official
LUBA VAISMAN (PRESIDENT ADMINISTRATOR)
(619) 424-8181
Entity
Organization

Contact information

Practice address
1424 30TH ST, SUITE C, SAN DIEGO, CA 92154-3421
(619) 424-8181
(619) 424-8151
Mailing address
1424 30TH ST, SUITE C, SAN DIEGO, CA 92154-3421
(619) 424-8181
(619) 424-8151

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ADU70229F
CA
Enumeration date
01/22/2007
Last updated
08/22/2020
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