Organization
MIDOMAR HOMES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADORACION MANALAD PALISOC M.D. (OWNER)
(714) 974-4321
Entity
Organization
Contact information
Practice address
17807 BELSHIRE AVE, ARTESIA, CA 90701-4234
(562) 865-3337
(562) 865-3337
Mailing address
17807 BELSHIRE AVE, ARTESIA, CA 90701-4234
(562) 865-3337
(562) 865-3337
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
11/03/2006
Last updated
08/22/2020
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