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Organization
TPD DEL DIOS LLC
Active
Organization
TPD DEL DIOS LLC
Active
Other names
Vista Del Lago Memory Care
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT KIRBY (CEO)
(619) 201-5888
Entity
Organization
Contact information
Practice address
1817 AVENIDA DEL DIABLO, ESCONDIDO, CA 92029-3112
(760) 741-2888
Mailing address
1817 AVENIDA DEL DIABLO, ESCONDIDO, CA 92029-3112
(760) 741-2888
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
374603664
CA
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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