Organization
RACHELLE'S HOME III INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYLA DOMONDON ILAGAN (ADMINISTRATOR)
(831) 588-8623
Entity
Organization
Contact information
Practice address
4101 FAIRWAY DR, SOQUEL, CA 95073-3002
(831) 201-4785
(831) 201-4786
Mailing address
4101 FAIRWAY DR, SOQUEL, CA 95073-3002
(831) 201-4785
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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