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1063163905
IRENE'S HOME LLC
SAN DIEGO, CA
NPI
1063163905
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Entity Type
Organization
Authorized Contact
PORTIA SMITH
CEO
619-538-7599
Organization Subpart ?
No
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2022-01-12
Last Update Date
2022-01-12
Business Address
IRENE'S HOME LLC
1916 SOUTH 43RD ST
SAN DIEGO, CA 92113
Phone number: 619-538-7599
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Mailing Address
IRENE'S HOME LLC
1916 SOUTH 43RD ST
SAN DIEGO, CA 92113
Phone number: 619-538-7599
Copy
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