Organization
SENIOR COAST LIVING, LLC
Active
Other names
Coastal Injury Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIANNA Z. REUBEN (CEO)
(949) 244-9405
Entity
Organization
Contact information
Practice address
8780 ELDEN STREET, LA MESA, CA 91942-3211
(949) 244-9405
Mailing address
8780 ELDEN STREET, LA MESA, CA 91942-3211
(858) 946-3100
(619) 432-6723
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/20/2017
Last updated
01/31/2022
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