Organization
LIFEHOUSE SAN DIEGO OPERATIONS, LLC
Active
Parent organization
LIFEHOUSE HEALTH SERVICES, LLC
Other names
San Diego Healthcare Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFEHOUSE HEALTH SERVICES, LLC
Authorized official
TRACY CLARK (CEO)
(310) 337-1929
Entity
Organization
Contact information
Practice address
2828 MEADOW LARK DR, SAN DIEGO, CA 92123-2710
(858) 277-6460
Mailing address
1000 CORPORATE POINTE, SUITE 100, CULVER CITY, CA 90230-7690
(310) 337-1929
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PENDING APPROVAL
CA
Other
Enumeration date
12/03/2007
Last updated
01/17/2017
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