# EDGEMOOR

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003001199
- **Authorized official:** MRS. MYRNA CORPUZ ALMUETE (RN)
- **Authorized official phone:** (619) 956-2978

## Contact information

- **Practice address:** 9065 EDGEMOOR DRIVE, EDGEMOOR HOSPITAL, SANTEE, CA 92071-3037
- **Practice address phone:** (619) 956-2978
- **Mailing address:** 9065 EDGEMOOR DR, SANTEE, CA 92071-3037

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 461705 | CA | Yes |

## Other

- **Enumeration date:** 09/11/2007
- **Last updated:** 09/11/2007