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Organization
STEPHEN R CARTER
Active
Organization
STEPHEN R CARTER
Active
Other names
The Royal Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN RANDALL CARTER NURSING HOME ADMINIS (NHA OWNER)
(619) 277-4350
Entity
Organization
Contact information
Practice address
12436 ROYAL RD, EL CAJON, CA 92021-1723
(619) 443-3886
Mailing address
PO BOX 2427, EL CAJON, CA 92021-0427
(619) 443-3886
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
080000090
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080000090
FACILITY LICENSE NUMBER
CA
01
—
206370165
OSHPD NUMBER
CA
05
—
ZZT18550F
—
CA
05
—
ZZT18550G
—
CA
Enumeration date
11/13/2006
Last updated
07/18/2008
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