Organization
ELDORADO CARE CENTER LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB M. M. GRAFF (PRESIDENT)
(310) 286-3074
Entity
Organization
Contact information
Practice address
510 E WASHINGTON AVE, EL CAJON, CA 92020
(619) 440-1211
(619) 447-2042
Mailing address
510 E WASHINGTON AVE, EL CAJON, CA 92020-5324
(619) 440-1211
(619) 447-2042
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
555076
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC70004G
—
CA
05
—
ZZT18410G
—
CA
Enumeration date
07/25/2006
Last updated
07/01/2019
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