Organization
HAWKES O-SIDE 1, LLC
Active
Other names
Heritage Hills
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT KIRBY (PRESIDENT)
(619) 201-5888
Entity
Organization
Contact information
Practice address
2108 S EL CAMINO REAL, OCEANSIDE, CA 92054-6203
(760) 385-8100
Mailing address
1817 AVENIDA DEL DIABLO, ESCONDIDO, CA 92029-3112
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
374603778
CA
Other
Enumeration date
05/25/2017
Last updated
05/25/2017
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