Organization
QUAIL LAKE HOLDINGS LLC
Active
Other names
Crystal Creek Post-Acute
Organization subpart
No
Provider details
NPI number
Authorized official
TOBY TILFORD (CO-CEO)
(858) 774-8342
Entity
Organization
Contact information
Practice address
9289 BRANSTETTER PL, STOCKTON, CA 95209-1700
(209) 477-5252
Mailing address
16544 FRANZEN FARM RD, SAN DIEGO, CA 92127-2240
(858) 798-5700
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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