Organization
KING OF KINGS LLL
Active
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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