Organization
GRANITE HILLS HEALTHCARE
Active
Other names
Granite Hills Convalescent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JOHN BAKER CPA (CONTROLLER)
(858) 571-4390
Entity
Organization
Contact information
Practice address
9474 CHESAPEAKE DR, SUITE 907, SAN DIEGO, CA 92123-1047
(858) 571-4390
(858) 571-4393
Mailing address
9474 CHESAPEAKE DR, SUITE 907, SAN DIEGO, CA 92123-1047
(858) 571-4390
(858) 571-4393
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
090000097
CA
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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