Organization
MAGNOLIA SPECIAL CARE CENTER INC
Active
Other names
Shea Family Care Magnolia
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY PATRICIA MILLER (CHIEF LEGAL COUNSEL)
(619) 441-8771
Entity
Organization
Contact information
Practice address
635 S MAGNOLIA AVE, EL CAJON, CA 92020-6012
(619) 442-8826
(619) 442-0288
Mailing address
635 S MAGNOLIA AVE, EL CAJON, CA 92020-6012
(619) 442-8826
(619) 442-0288
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
090000072
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05890J
—
CA
Enumeration date
08/14/2006
Last updated
02/07/2014
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