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Organization
VETERANS HOME OF CALIFORNIA - CHULA VISTA
Active
Organization
VETERANS HOME OF CALIFORNIA - CHULA VISTA
Active
Other names
California Department of Veterans Affairs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD M. THOMAS (ACTING ADMINISTRATOR)
(619) 482-6037
Entity
Organization
Contact information
Practice address
700 E NAPLES CT, CHULA VISTA, CA 91911-6821
(619) 482-6010
(619) 205-1110
Mailing address
700 E NAPLES CT, CHULA VISTA, CA 91911-6821
(619) 482-6010
(619) 205-1110
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
374601005
CA
314000000X
Skilled Nursing Facility
Primary
170000836
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD4357
RAILROAD MEDICARE
CA
05
—
LTC55795F
—
CA
Enumeration date
09/21/2005
Last updated
07/19/2016
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