Organization
PACALDO LLC
Active
Other names
A & J Assisted Living Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIET MIRANDA PACALDO RN MSN (ADMINISTRATOR)
(650) 393-0265
Entity
Organization
Contact information
Practice address
130 VALE ST, DALY CITY, CA 94014-2516
(650) 393-0265
(650) 898-1553
Mailing address
130 VALE ST, DALY CITY, CA 94014-2516
(650) 393-0265
(650) 898-1553
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
415601066
ASSISTED LIVING FACILITY
CA
Enumeration date
05/04/2021
Last updated
05/04/2021
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