Organization
RESIDENCE CARE INC.
Active
Other names
Lilly's Villa II
Organization subpart
No
Provider details
NPI number
Authorized official
JASON WINBLAD (LICENSEE)
(619) 757-3918
Entity
Organization
Contact information
Practice address
5996 SAGEBRUSH RD, LA JOLLA, CA 92037-7039
(619) 757-3918
Mailing address
5996 SAGEBRUSH RD, LA JOLLA, CA 92037-7039
(619) 757-3918
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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