Organization
JONQUIL HOLDINGS, LLC
Active
Other names
DAVIS HEALTHCARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL HUBBARD (MANAGER)
(760) 471-0388
Entity
Organization
Contact information
Practice address
715 POLE LINE RD, DAVIS, CA 95618-4015
(530) 756-4900
Mailing address
100 E SAN MARCOS BLVD, SUITE 200, SAN MARCOS, CA 92069-2986
(760) 471-0388
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508164732
—
CA
Enumeration date
03/11/2011
Last updated
10/11/2013
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