Organization
AVZO LLC
Active
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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