Organization
PARKSIDE SPECIAL CARE CENTER INC
Active
Other names
Shea Family Care Parkside
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
444 W LEXINGTON AVE, EL CAJON, CA 92020-4416
(619) 442-7744
(619) 442-1137
Mailing address
444 W LEXINGTON AVE, EL CAJON, CA 92020-4416
(619) 442-7744
(619) 442-1137
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
080000068
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT18176H
—
CA
Enumeration date
08/14/2006
Last updated
12/27/2013
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