Organization
EDGEMOOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLEEN KAY WILSON (RN/NURSE SUPERVISOR)
(619) 956-2855
Entity
Organization
Contact information
Practice address
9065 EDGEMOOR DR, SANTEE, CA 92071-3037
(619) 956-2855
(619) 956-2981
Mailing address
9065 EDGEMOOR DR, SANTEE, CA 92071-3037
(619) 956-2855
(619) 956-2981
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
452469
CA
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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