Organization
CLOISTERS OF LA JOLLA INC
Active
Other names
Shea Family Care La Jolla
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY PATRICIA MILLER 6194418771 (CHIEF LEGAL COUNSEL)
(619) 441-8771
Entity
Organization
Contact information
Practice address
7160 FAY AVE, LA JOLLA, CA 92037-5511
(858) 459-4361
(858) 459-1386
Mailing address
7160 FAY AVE, LA JOLLA, CA 92037-5511
(858) 459-4361
(858) 459-1386
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
080000031
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2039040
—
CA
Enumeration date
08/14/2006
Last updated
12/27/2013
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