Organization
CASA SAN MIGUEL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EKATERINA V. ZAMYATINA (OWNER/ADMINISTRATOR)
(805) 963-1214
Entity
Organization
Contact information
Practice address
1403 SAN MIGUEL AVE., SANTA BARBARA, CA 73109
(805) 963-1214
Mailing address
1403 SAN MIGUEL AVE., SANTA BARBARA, CA 73109
(805) 963-1214
(805) 963-9087
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
425801626
CA
Other
Enumeration date
10/21/2009
Last updated
10/21/2009
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