Organization
COUNTY OF SAN DIEGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DELORES JOAN LEONARD (RN - STAFF NURSE 2)
(619) 670-1523
Entity
Organization
Contact information
Practice address
9065 EDEGMOOR DRIVE, SANTEE, CA 92071
(619) 956-2955
Mailing address
12025 CALLE DE LEON APT 13, EL CAJON, CA 92019-4900
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
376421
CA
Other
Enumeration date
06/15/2007
Last updated
08/22/2020
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