Organization
P.G.H.C.C., INC
Active
Other names
Pacific Grove Convalescent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DOUGLAS LUND (ADMINISTRATOR)
(805) 565-5000
Entity
Organization
Contact information
Practice address
200 LIGHTHOUSE AVE, PACIFIC GROVE, CA 93950-3022
(831) 375-2695
(831) 647-9639
Mailing address
200 LIGHTHOUSE AVE, PACIFIC GROVE, CA 93950-3022
(831) 375-2695
(831) 647-9639
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
70000075
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05356G
—
CA
Enumeration date
10/17/2006
Last updated
07/29/2014
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