Organization
VILLADEL INC
Active
Other names
SAVA HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERMINIO FERNANDEZ DELEON R.N. (CEO)
(760) 480-1482
Entity
Organization
Contact information
Practice address
841 SAINT SAVA PL, SAN MARCOS, CA 92069-3591
(760) 480-1482
(760) 294-8681
Mailing address
6345 CAMINO MARINERO, SAN CLEMENTE, CA 92673-7113
(760) 480-1482
(760) 294-8681
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
550000132
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC80386F
—
CA
Enumeration date
02/05/2007
Last updated
06/23/2008
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