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Millies Paradise Homes INC

Health Maintenance Organization in Vallejo, CA. Organization (NPI-2).

NPI number1114101292
StatusActive
Last updated in NPPESOct 15, 2014

Details

NPI
1114101292
Entity type
Organization (NPI-2)
Legal business name
Millies Paradise Homes INC
Organization subpart
No
Enumeration date
Dec 24, 2007
Last updated
Oct 15, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
302R00000X Health Maintenance Organization010000301CAYes

Practice location

312 Doncaster Dr
Vallejo, CA 94590

Phone 707-554-4005 · Fax 707-554-0604

Mailing address

1530 Solano Ave
Vallejo, CA 94590-5761

Phone 707-554-4005 · Fax 707-554-0604

Authorized official

Millie Ann Smith
Owner
7075544005

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