Organization
PAYANG ENTERPRISE LLC
Active
Other names
Laguna ICF
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA PAYANG RN (ADMINISTRATOR)
(209) 834-7598
Entity
Organization
Contact information
Practice address
294 LAGUNA DR, TRACY, CA 95376-1930
(209) 835-0824
(209) 832-5990
Mailing address
294 LAGUNA DR, TRACY, CA 95376-1930
(209) 835-0824
(209) 832-5990
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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