Organization
INDEPENDENT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIDA DIAZ GOINES HOME (MANAGER)
(530) 635-7585
Entity
Organization
Contact information
Practice address
1615 ESPLANADE WAY, YUBA CITY, CA 95993-1010
(530) 674-1129
(530) 674-1129
Mailing address
1615 ESPLANADE WAY, YUBA CITY, CA 95993-1010
(530) 674-1129
(530) 674-1129
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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