Organization
TPD DEL DIOS LLC
Active
Other names
Vista Del Lago Memory Care
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT KIRBY (CEO)
(619) 201-5888
Entity
Organization
Contact information
Practice address
1817 AVENIDA DEL DIABLO, ESCONDIDO, CA 92029-3112
(760) 741-2888
Mailing address
1817 AVENIDA DEL DIABLO, ESCONDIDO, CA 92029-3112
(760) 741-2888
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
374603664
CA
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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