Organization
ROCK OF AGES MANOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYL EVANGELISTA (ADMINISTRATOR)
(619) 844-4566
Entity
Organization
Contact information
Practice address
7445 PACIFIC AVE, LEMON GROVE, CA 91945-2318
(619) 844-4566
Mailing address
7445 PACIFIC AVE, LEMON GROVE, CA 91945-2318
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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