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Organization
SHEA FAMILY CARE SOUTH BAY, INC.
Active
Organization
SHEA FAMILY CARE SOUTH BAY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY PATRICIA MILLER (CHIEF LEGAL COUNSEL)
(619) 441-8771
Entity
Organization
Contact information
Practice address
553 F ST, CHULA VISTA, CA 91910-3515
(619) 426-8611
(619) 498-1401
Mailing address
1810 GILLESPIE WAY STE 212, EL CAJON, CA 92020-0921
(619) 441-8771
(619) 441-2812
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
090000107
CA
Other
Enumeration date
05/23/2013
Last updated
06/15/2015
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