Organization
KING OF KINGS LLL
Active
Other names
Seaside Villa Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JAMES KAHNIS (COF)
(619) 804-5875
Entity
Organization
Contact information
Practice address
1909 S FREEMAN ST, OCEANSIDE, CA 92054-6430
(442) 266-2107
Mailing address
1910 WOODSIDE DR, EL CENTRO, CA 92243-4455
(619) 804-5875
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
01/25/2022
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