# ELM HOLDINGS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** La Mesa Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003852666
- **Authorized official:** MR. JOHN MITCHELL (SECRETARY)
- **Authorized official phone:** (385) 988-3319

## Contact information

- **Practice address:** 3780 MASSACHUSETTS AVE, LA MESA, CA 91941-7638
- **Practice address phone:** (619) 465-1313
- **Practice address fax:** (619) 465-8429
- **Mailing address:** 262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 090000007 | CA | Yes |

## Other

- **Enumeration date:** 06/21/2006
- **Last updated:** 08/19/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1003852666 | — | CA |
| 05 | — | ZZT05488J | — | CA |