Organization
MIRAGE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT KIRBY (CEO)
(619) 201-5888
Entity
Organization
Contact information
Practice address
72201 COUNTRY CLUB DR, RANCHO MIRAGE, CA 92270-4001
(760) 340-5999
Mailing address
1817 AVENIDA DEL DIABLO, ESCONDIDO, CA 92029-3112
(619) 201-5888
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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