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Organization
PACIFICA SAGEBRUSH LLC
Active
Organization
PACIFICA SAGEBRUSH LLC
Active
Other names
Pacifica Senior Living San Martin
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK ISRANI (OWNER)
(619) 296-9000
Entity
Organization
Contact information
Practice address
8374 W CAPOVILLA AVE, LAS VEGAS, NV 89113-3305
(702) 222-3600
Mailing address
8374 W CAPOVILLA AVE, LAS VEGAS, NV 89113-3305
(702) 222-3600
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
NULL
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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