# EDGMOOR HOSPITAL

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

## Provider details

- **NPI number:** 1205166782
- **Authorized official:** MS. JENNIFER WANJIRU NJERU (LVN)
- **Authorized official phone:** (619) 795-1570

## Contact information

- **Practice address:** 655 PARK CENTER DR, SANTEE, CA 92071-6957
- **Practice address phone:** (619) 596-5500
- **Mailing address:** 4423 44TH ST APT C, SAN DIEGO, CA 92115-4343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 243843 | CA | Yes |

## Other

- **Enumeration date:** 01/06/2010
- **Last updated:** 01/06/2010