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Organization
VICTORIA SPECIAL CARE CENTER INC
Active
Organization
VICTORIA SPECIAL CARE CENTER INC
Active
Other names
Shea Family Care Victoria
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE MARIE COOK (EXECUTIVE ASSISTANT)
(619) 441-8771
Entity
Organization
Contact information
Practice address
654 S ANZA ST, EL CAJON, CA 92020-6602
(619) 440-5005
(619) 442-8271
Mailing address
654 S ANZA ST, EL CAJON, CA 92020-6602
(619) 440-5005
(619) 442-8271
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
080000027
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT11306H
—
CA
Enumeration date
08/14/2006
Last updated
12/27/2013
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