Healthcare Provider Details

I. General information

NPI: 1932856879
Provider Name (Legal Business Name): ALNOOR ADULT CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2022
Last Update Date: 03/09/2022
Certification Date: 03/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 W MAIN ST
EL CAJON CA
92020-3163
US

IV. Provider business mailing address

905 W MAIN ST
EL CAJON CA
92020-3163
US

V. Phone/Fax

Practice location:
  • Phone: 619-402-5570
  • Fax:
Mailing address:
  • Phone: 619-402-5570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. NAWAR ABDULNOOR
Title or Position: PRESIDENT
Credential:
Phone: 619-402-5570