Organization
MAQUI HOLDINGS, LLC
Active
Other names
Paradise Ridge Post-Acute
Organization subpart
No
Provider details
NPI number
Authorized official
TOBY TILFORD (CEO/PRESIDENT)
(760) 471-0388
Entity
Organization
Contact information
Practice address
1633 CYPRESS LN, PARADISE, CA 95969-2823
(760) 471-0388
Mailing address
100 E SAN MARCOS BLVD, #200, SAN MARCOS, CA 92069-2986
(760) 471-0388
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720457492
—
CA
Enumeration date
09/23/2015
Last updated
08/07/2016
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