Organization
ELM HOLDINGS, LLC
Active
Other names
La Mesa Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MITCHELL (SECRETARY)
(385) 988-3319
Entity
Organization
Contact information
Practice address
3780 MASSACHUSETTS AVE, LA MESA, CA 91941-7638
(619) 465-1313
(619) 465-8429
Mailing address
262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
090000007
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003852666
—
CA
05
—
ZZT05488J
—
CA
Enumeration date
06/21/2006
Last updated
08/19/2024
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