Monte Vista Lodge Limited Partnership
NPI #1649212986 in Lemon Grove, California
Provider Information
- NPI Number
- 1649212986
- Entity Type
- Organization
- Organization Name
- Monte Vista Lodge Limited Partnership
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 12, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 2211 MASSACHUSETTS AVE
- City
- Lemon Grove
- State
- California
- ZIP Code
- 91945-3616
- Phone
- (619) 465-1331
Authorized Official
- Name
- MR. JOHN B GOODMAN
- Title
- PRESIDENT OF GENERAL PARTNER
- Phone
- (952) 361-8000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
| Skilled Nursing Facility |
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