Koa Holdings, LLC
NPI #1013953199 in El Cajon, California
Provider Information
- NPI Number
- 1013953199
- Entity Type
- Organization
- Organization Name
- Koa Holdings, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 20, 2006
- Last Updated
- Aug 20, 2024
Practice Location
- Address
- 1391 E MADISON AVE
- City
- El Cajon
- State
- California
- ZIP Code
- 92021-8568
- Phone
- (619) 444-1107
Authorized Official
- Name
- JOHN MITCHELL
- Title
- SECRETARY
- Phone
- (385) 988-3319
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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