Organization
PACIFICA SAGEBRUSH LLC
Active
Other names
Pacifica Senior Living San Martin
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK ISRANI (OWNER)
(619) 296-9000
Entity
Organization
Contact information
Practice address
8374 W CAPOVILLA AVE, LAS VEGAS, NV 89113-3305
(702) 222-3600
Mailing address
8374 W CAPOVILLA AVE, LAS VEGAS, NV 89113-3305
(702) 222-3600
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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