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Myla Domondon Ilagan
Assisted Living Facility in Soquel, California
NPI 1528821329

Myla Domondon Ilagan is an Assisted Living Facility based in Soquel, CA. Myla Domondon Ilagan practices in Soquel, CA. The NPI Number for Myla Domondon Ilagan is 1528821329 and holds a License No. 445202879 (California).

The current practice location address for Myla Domondon Ilagan is 4101 Fairway Dr, Soquel, CA and can be reached out via phone at 831-201-4785 and via fax at 831-201-4786.

Location: 4101 Fairway Dr, Soquel, CA, 95073-3002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528821329
Provider Name
Myla Domondon Ilagan
Credential
Provider Entity Type
Individual
Gender
Female
Address
4101 Fairway Dr, Soquel, CA, 95073-3002
Phone Number
831-201-4785
Fax Number
831-201-4786
Provider Enumeration Date
02/05/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4101 Fairway Dr
City
Soquel
State
California
Zip
95073-3002
Phone Number
831-201-4785
Fax Number
831-201-4786
person
Provider Business Mailing Address Details
Address
4101 Fairway Dr
City
Soquel
State
California
Zip
95073-3002
Phone Number
831-201-4785
Fax Number
831-201-4786
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
445202879 (California)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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