Organization
SHEA FAMILY CARE SOUTH BAY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY PATRICIA MILLER (CHIEF LEGAL COUNSEL)
(619) 441-8771
Entity
Organization
Contact information
Practice address
553 F ST, CHULA VISTA, CA 91910-3515
(619) 426-8611
(619) 498-1401
Mailing address
1810 GILLESPIE WAY STE 212, EL CAJON, CA 92020-0921
(619) 441-8771
(619) 441-2812
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
090000107
CA
Other
Enumeration date
05/23/2013
Last updated
06/15/2015
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