Lifehouse San Diego Operations, LLC
NPI #1003098906 in San Diego, California
Provider Information
- NPI Number
- 1003098906
- Entity Type
- Organization
- Organization Name
- Lifehouse San Diego Operations, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LIFEHOUSE HEALTH SERVICES, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 3, 2007
- Last Updated
- Jan 17, 2017
Practice Location
- Address
- 2828 MEADOW LARK DR
- City
- San Diego
- State
- California
- ZIP Code
- 92123-2710
- Phone
- (858) 277-6460
Authorized Official
- Name
- TRACY CLARK
- Title
- CEO
- Phone
- (310) 337-1929
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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