Organization
PACIFICA SLO LLC
Active
Other names
Avila Senior Living At Downtown SLO
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK ISRANI (OWNER)
(619) 296-9000
Entity
Organization
Contact information
Practice address
475 MARSH ST, SAN LUIS OBISPO, CA 93401-6108
(805) 541-4222
Mailing address
475 MARSH ST, SAN LUIS OBISPO, CA 93401-6108
(805) 541-4222
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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