Organization
KDPKII,INK.
Active
Organization
KDPKII,INK.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FLORA KELLY (ADMINISTRATOR)
(858) 583-6431
Entity
Organization
Contact information
Practice address
3739 MILLIKIN AVE, SAN DIEGO, CA 92122-2415
(858) 583-6431
(858) 587-2802
Mailing address
6311 DENNISON ST, SAN DIEGO, CA 92122-2401
(858) 364-3158
(858) 587-2802
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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