Organization
UNI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARIA ANN THARAKAN NURSE (RN)
(516) 993-7775
Entity
Organization
Contact information
Practice address
1711 HORIZON HEIGHTS CIR, EL CAJON, CA 92019-1159
(516) 993-7775
Mailing address
1711 HORIZON HEIGHTS CIR, EL CAJON, CA 92019-1159
(516) 993-7775
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
798212
CA
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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