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Organization

LEMON GROVE HEALTH ASSOCIATES LLC

Active
Other names
Lemon Grove Care & Rehabilitation Center
Organization subpart
No

Provider details

NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization

Contact information

Practice address
8351 BROADWAY, LEMON GROVE, CA 91945-2009
(619) 463-0294
(619) 461-1064
Mailing address
8351 BROADWAY, LEMON GROVE, CA 91945-2009
(619) 463-0294
(619) 461-1064

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
090000067
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZZT05182H
CA
Enumeration date
09/15/2005
Last updated
02/17/2021
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