Organization
PARADISE VILLA SENIOR CARE,LLC
Active
Organization
PARADISE VILLA SENIOR CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KONAH JOSEPHINE DOLO RN, BSN, PHN (OWNER/ADMINISTRATOR)
(704) 236-7133
Entity
Organization
Contact information
Practice address
836 SAN SIMEON DR, CONCORD, CA 94518-2245
(925) 446-6651
Mailing address
836 SAN SIMEON DR, CONCORD, CA 94518-2245
(925) 446-6651
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
079200312
CA
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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