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Organization
PARADISE VALLEY HEALTH CARE CENTER, INC.
Active
Organization
PARADISE VALLEY HEALTH CARE CENTER, INC.
Active
Other names
PARADISE VALLEY HEALTH CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MITCHELL (SECRETARY)
(385) 988-3319
Entity
Organization
Contact information
Practice address
2575 E 8TH ST, NATIONAL CITY, CA 91950-2913
(619) 470-6700
(619) 470-0404
Mailing address
262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
090000141
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090000141
CDPH FACILITY LICENSE NUMBER
CA
05
—
LTC06388G
—
CA
Enumeration date
01/17/2006
Last updated
08/20/2024
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