Organization
KEVORY HOLDING COMPANY, INC.
Active
Other names
La Jolla Casa Fiesta
Organization subpart
No
Provider details
NPI number
Authorized official
GUS FERNANDEZ (OWNER)
(858) 245-3766
Entity
Organization
Contact information
Practice address
5426 AVENIDA FIESTA, LA JOLLA, CA 92037-7202
(858) 412-3987
(858) 412-3987
Mailing address
991 LOMAS SANTA FE DR STE C, SOLANA BEACH, CA 92075-2141
(858) 245-3766
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
11/04/2024
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