# MISSION TRAILS HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grossmont Post Acute Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689077588
- **Authorized official:** SOON BURNAM (TREASURER)
- **Authorized official phone:** (949) 540-1249

## Contact information

- **Practice address:** 8787 CENTER DR, LA MESA, CA 91942-3034
- **Practice address phone:** (619) 460-4444
- **Practice address fax:** (619) 460-6341
- **Mailing address:** 8787 CENTER DR, LA MESA, CA 91942-3034
- **Mailing address phone:** (619) 460-4444
- **Mailing address fax:** (619) 460-6341

## Taxonomy

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

## Other

- **Enumeration date:** 10/06/2014
- **Last updated:** 09/07/2023