Organization
VICTORIA SPECIAL CARE CENTER INC
Active
Other names
Shea Family Care Victoria
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE MARIE COOK (EXECUTIVE ASSISTANT)
(619) 441-8771
Entity
Organization
Contact information
Practice address
654 S ANZA ST, EL CAJON, CA 92020-6602
(619) 440-5005
(619) 442-8271
Mailing address
654 S ANZA ST, EL CAJON, CA 92020-6602
(619) 440-5005
(619) 442-8271
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
080000027
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT11306H
—
CA
Enumeration date
08/14/2006
Last updated
12/27/2013
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