Organization
MONTE VISTA LODGE LIMITED PARTNERSHIP
Active
Other names
MONTE VISTA LODGE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN B GOODMAN (PRESIDENT OF GENERAL PARTNER)
(952) 361-8000
Entity
Organization
Contact information
Practice address
2211 MASSACHUSETTS AVE, LEMON GROVE, CA 91945-3616
(619) 465-1331
(619) 465-2426
Mailing address
1107 HAZELTINE BLVD, SUITE 200, CHASKA, MN 55318-1009
(952) 361-8000
(952) 361-8058
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
CA
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Enumeration date
06/12/2006
Last updated
09/11/2025
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