# COUNTY OF SAN DIEGO

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

## Provider details

- **NPI number:** 1467657064
- **Authorized official:** MS. DELORES JOAN LEONARD (RN - STAFF NURSE 2)
- **Authorized official phone:** (619) 670-1523

## Contact information

- **Practice address:** 9065 EDEGMOOR DRIVE, SANTEE, CA 92071
- **Practice address phone:** (619) 956-2955
- **Mailing address:** 12025 CALLE DE LEON APT 13, EL CAJON, CA 92019-4900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 376421 | CA | Yes |

## Other

- **Enumeration date:** 06/15/2007
- **Last updated:** 08/22/2020