# VICTORIA SPECIAL CARE CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shea Family Care Victoria
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578576138
- **Authorized official:** MS. MICHELLE MARIE COOK (EXECUTIVE ASSISTANT)
- **Authorized official phone:** (619) 441-8771

## Contact information

- **Practice address:** 654 S ANZA ST, EL CAJON, CA 92020-6602
- **Practice address phone:** (619) 440-5005
- **Practice address fax:** (619) 442-8271
- **Mailing address:** 654 S ANZA ST, EL CAJON, CA 92020-6602
- **Mailing address phone:** (619) 440-5005
- **Mailing address fax:** (619) 442-8271

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 080000027 | CA | Yes |

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 12/27/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT11306H | — | CA |