Organization
KEVORY HOLDING COMPANY, INC.
Active
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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