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Organization
CALIFORNIA SPECIAL CARE CENTER
Active
Organization
CALIFORNIA SPECIAL CARE CENTER
Active
Other names
Shea Family Care Grossmont
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY PATRICIA MILLER (CHIEF LEGAL COUNSEL)
(619) 441-8771
Entity
Organization
Contact information
Practice address
8787 CENTER DR, LA MESA, CA 91942-3034
(619) 460-4444
(619) 460-6341
Mailing address
8787 CENTER DR, LA MESA, CA 91942-3034
(619) 460-4444
(619) 460-6341
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
080000024
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05632G
—
CA
Enumeration date
08/14/2006
Last updated
02/07/2014
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