Organization
GHC OF EL CAJON, LLC
Active
Other names
Bradley Special Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
LOIS MASTROCOLA (CHIEF FINANCIAL OFFICER)
(714) 241-5600
Entity
Organization
Contact information
Practice address
675 E BRADLEY AVE, EL CAJON, CA 92021-3110
(619) 448-6633
Mailing address
6 HUTTON CENTRE DR STE 400, SANTA ANA, CA 92707-8762
(714) 241-5600
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356975684
—
CA
Enumeration date
02/25/2020
Last updated
08/05/2024
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