Provider Demographics
NPI:1043800410
Name:ADELAIDA S. GALASINAO
Entity Type:Organization
Organization Name:ADELAIDA S. GALASINAO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSEE
Authorized Official - Prefix:
Authorized Official - First Name:ADELAIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GALASINAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-771-8904
Mailing Address - Street 1:25070 DAISY AVENUE
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-3459
Mailing Address - Country:US
Mailing Address - Phone:909-796-0882
Mailing Address - Fax:909-478-9692
Practice Address - Street 1:25070 DAISY AVENUE
Practice Address - Street 2:
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-3459
Practice Address - Country:US
Practice Address - Phone:909-796-0882
Practice Address - Fax:909-478-9692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-20
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility