Whalio Doctors

NPI 1962541177

Villadel INC

Organisation Intellectual Disabilities Intermediate Care Facility San Marcos, CA

Practice location

Address
841 Saint Sava Pl, San Marcos, CA 92069-3591
Phone
(760) 480-1482
Fax
(760) 294-8681
Mailing address
6345 Camino Marinero, San Clemente, CA 92673-7113

Authorised official

Name
Herminio Fernandez Deleon
Title
Ceo
Phone
(760) 480-1482

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 550000132 (CA)

Registry record

NPI
1962541177
Entity type
Organization
NPI issued
5 Feb 2007
Record last updated
23 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.