Organization
PARADISE VALLEY HEALTH CARE CENTER, INC.
Active
Other names
PARADISE VALLEY HEALTH CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MITCHELL (SECRETARY)
(385) 988-3319
Entity
Organization
Contact information
Practice address
2575 E 8TH ST, NATIONAL CITY, CA 91950-2913
(619) 470-6700
(619) 470-0404
Mailing address
262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
090000141
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090000141
CDPH FACILITY LICENSE NUMBER
CA
05
—
LTC06388G
—
CA
Enumeration date
01/17/2006
Last updated
08/20/2024
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