Organization Name: | LIZNAVAL,INC |
NPI Number: | 1053746370 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALICIA OLAGUER NAVAL (ADMINISTRATOR) |
Mailing Address: | 200 Harris Ave Rodeo |
State: | CA US |
Postal Code: | 945721037 |
Phone Number: | 5106204255 |
Fax Number: | |
NPI Enumeration Date: | 09/05/2013 |
NPI Last Update Date: | 09/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | 079200303 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |