Organization
AMBROSIA CREEK, LLC
Active
Other names
Home Residential Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE NORRIS (MANAGING MEMBER)
(619) 971-8431
Entity
Organization
Contact information
Practice address
3028 DELFINA PL, CARLSBAD, CA 92009-8208
(619) 971-8431
Mailing address
3028 DELFINA PL, CARLSBAD, CA 92009-8208
(619) 971-8431
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
374603695
CA
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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