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Organization
KTRE1, LLC
Active
Organization
KTRE1, LLC
Active
Other names
BayView Senior Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA FLORES (MANAGER)
(619) 225-5616
Entity
Organization
Contact information
Practice address
3219 CANON ST, SAN DIEGO, CA 92106-2512
(619) 225-5616
Mailing address
3219 CANON ST, SAN DIEGO, CA 92106-2512
(619) 225-5616
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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