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Organization

EASY LIVING @ MIRA MESA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DANILO CASINTAHAN CALCETAS LICENSEE (LICENSEE ADMINISTRATOR CAREGIVER)
(858) 663-2425
Entity
Organization

Contact information

Practice address
10136 ZAPATA AVE, SAN DIEGO, CA 92126-1124
(858) 663-2425
(858) 430-5555
Mailing address
10136 ZAPATA AVE, SAN DIEGO, CA 92126-1124
(858) 663-2425
(858) 430-5555

Taxonomy

Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary

Other

Enumeration date
01/08/2026
Last updated
01/08/2026
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