Organization
IMAGINATIVE HORIZONS INC
Active
Other names
Hillcrest Manor Sanitarium
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BYRNES (ADMINISTRATOR)
(619) 477-1176
Entity
Organization
Contact information
Practice address
1889 NATIONAL CITY BLVD, NATIONAL CITY, CA 91950-0000
(619) 477-1176
(619) 477-9933
Mailing address
1889 NATIONAL CITY BLVD, NATIONAL CITY, CA 91950-0000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05975G
—
CA
Enumeration date
01/09/2007
Last updated
03/24/2008
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