# SKILLED MARENGO LLC

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

## Provider details

- **NPI number:** 1053202077
- **Authorized official:** SCOTT KIRBY (MANAGER)
- **Authorized official phone:** (619) 201-5888

## Contact information

- **Practice address:** 5480 MARENGO AVE, LA MESA, CA 91942-2408
- **Practice address phone:** (619) 463-0281
- **Mailing address:** 1817 AVENIDA DEL DIABLO, ESCONDIDO, CA 92029-3112

## Taxonomy

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

## Other

- **Enumeration date:** 07/09/2025
- **Last updated:** 07/09/2025