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| Type | Company | [sources] | |||
|---|---|---|---|---|---|
| Name | Granite Hills Healthcare Inc. | [sources] | |||
| Incorporation date | not available | [sources] | |||
| Jurisdiction | not available | [sources] | |||
| Country | United States | [sources] | |||
| NPI | 1164790689 · 1508953662 | [sources] | |||
| Registration number | ZZT05392I · ZZT056981 | [sources] | |||
| Sector | Entity/Corporation | [sources] | |||
| Address | 9340 East Madison Ave., El Cajon, California, 92021 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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