| Soap Mat, Llc | |
|
1939 W Vista Way Vista CA 92083-6019 | |
| (760) 305-7528 | |
| (760) 509-4410 |
| Full Name | Soap Mat, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1939 W Vista Way, Vista, California |
| Authorized Official Name and Position | Laura Ellen Rossi (CEO) |
| Authorized Official Contact | 7602743158 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soap Mat, Llc 1939 W Vista Way Vista CA 92083-6019 Ph: (760) 305-7528 | Soap Mat, Llc 1939 W Vista Way Vista CA 92083-6019 Ph: (760) 305-7528 |
| NPI Number | 1477867760 |
|---|---|
| Provider Enumeration Date | 07/29/2010 |
| Last Update Date | 10/14/2024 |
| Certification Date | 10/14/2024 |
| Medicare PECOS PAC ID | 2163774514 |
|---|---|
| Medicare Enrollment ID | O20200422003269 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477867760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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