Organization
FIVE STAR REMINGTON CLUB LLC
Active
Parent organization
FIVE STAR REMINGTON CLUB LLC
Other names
Remington Club Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIVE STAR REMINGTON CLUB LLC
Authorized official
KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(617) 796-8387
Entity
Organization
Contact information
Practice address
16915 HIERBA DRIVE, SAN DIEGO, CA 92128-2688
(858) 673-6300
(858) 673-6318
Mailing address
16915 HIERBA DR, SAN DIEGO, CA 92128-2681
(858) 673-6300
(858) 673-6318
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
374601200
CA
314000000X
Skilled Nursing Facility
Primary
080000303
CA
Other
Enumeration date
05/25/2006
Last updated
03/28/2019
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