Provider Demographics
NPI:1619166865
Name:CONSTANCE SWED
Entity Type:Organization
Organization Name:CONSTANCE SWED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE CASE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CONSTANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:SWED
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:760-529-9464
Mailing Address - Street 1:3283 MORELLA WAY
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-3241
Mailing Address - Country:US
Mailing Address - Phone:760-529-9464
Mailing Address - Fax:
Practice Address - Street 1:3283 MORELLA WAY
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-3241
Practice Address - Country:US
Practice Address - Phone:760-529-9464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CONSTANCE SWED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-23
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA376549313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility