Organization
GHC OF KEARNY MESA, LLC
Active
Other names
Kearny Mesa Convalescent & Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
LOIS MASTROCOLA (CHIEF FINANCIAL OFFICER)
(714) 241-5600
Entity
Organization
Contact information
Practice address
7675 FAMILY CIR, SAN DIEGO, CA 92111-5304
(858) 278-8121
Mailing address
7675 FAMILY CIR, SAN DIEGO, CA 92111-5304
(858) 278-8121
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275946568
—
CA
Enumeration date
06/04/2014
Last updated
08/05/2024
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