# PACIFICA SAGEBRUSH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pacifica Senior Living San Martin
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104425933
- **Authorized official:** DEEPAK ISRANI (OWNER)
- **Authorized official phone:** (619) 296-9000

## Contact information

- **Practice address:** 8374 W CAPOVILLA AVE, LAS VEGAS, NV 89113-3305
- **Practice address phone:** (702) 222-3600
- **Mailing address:** 8374 W CAPOVILLA AVE, LAS VEGAS, NV 89113-3305
- **Mailing address phone:** (702) 222-3600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/22/2020
- **Last updated:** 10/22/2020