# RANCHO VISTA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rancho Vista
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750486379
- **Authorized official:** B. RENEE BARNARD (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (858) 565-4424

## Contact information

- **Practice address:** 760 E BOBIER DR, VISTA, CA 92084-3806
- **Practice address phone:** (760) 941-1480
- **Practice address fax:** (760) 941-5981
- **Mailing address:** 9619 CHESAPEAKE DR, SUITE 103, SAN DIEGO, CA 92123-1368
- **Mailing address phone:** (858) 565-4424
- **Mailing address fax:** (858) 565-2428

## Taxonomy

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

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 08/22/2020