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Organization

AVZO LLC

Active
Other names
Good Care ADHC
Organization subpart
No

Provider details

NPI number
Authorized official
SHAHIDA ALI (ADMINSTRAOTR)
(951) 742-7452
Entity
Organization

Contact information

Practice address
23401 GOLDEN SPRINGS DR, DIAMOND BAR, CA 91765-2030
(951) 742-7452
Mailing address
23401 GOLDEN SPRINGS DR, DIAMOND BAR, CA 91765-2030
(951) 742-7452

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
060000722
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ADU70223F
CA
Enumeration date
03/05/2008
Last updated
03/05/2008
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