Healthcare Provider Details

I. General information

NPI: 1528107273
Provider Name (Legal Business Name): HORIZONS ADULT DAY HEALTH CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 E 8TH ST STE 5
NATIONAL CITY CA
91950-2663
US

IV. Provider business mailing address

1415 E 8TH ST STE 5
NATIONAL CITY CA
91950-2663
US

V. Phone/Fax

Practice location:
  • Phone: 619-474-1822
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. RUSLAN KRAS
Title or Position: VICE-PRESIDENT
Credential:
Phone: 619-474-1822