Ijt9112 And Associates LLC
Assisted Living Facility in La Mesa, CA. Organization (NPI-2).
NPI number1982138996
StatusActive
Last updated in NPPESDec 28, 2023
Details
- NPI
- 1982138996
- Entity type
- Organization (NPI-2)
- Legal business name
- Ijt9112 And Associates LLC
- Organization subpart
- No
- Enumeration date
- Apr 17, 2017
- Certification date
- Dec 28, 2023
- Last updated
- Dec 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | 374603906 | CA | Yes |
Practice location
9112 Wakarusa StLa Mesa, CA 91942-3308
Phone 619-741-2499
Mailing address
9112 Wakarusa StLa Mesa, CA 91942-3308
Phone 619-741-2499
Authorized official
Richard Anthony Edwards
Healthcare Administrator
6199540963
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