Sapphire Lake San Marcos
NPI #1578931150 in San Marcos, California
Provider Information
- NPI Number
- 1578931150
- Entity Type
- Organization
- Organization Name
- Sapphire Lake San Marcos
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Sep 12, 2015
- Last Updated
- Sep 12, 2015
Practice Location
- Address
- 839 LA TIERRA DR
- City
- San Marcos
- State
- California
- ZIP Code
- 92078-4612
- Phone
- (714) 322-1910
Authorized Official
- Name
- ALI NAGHIBI
- Title
- CEO
- Phone
- (714) 322-1910
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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