Organization
FLOBAR, LLC
Active
Other names
Lucys by the Park
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA OLEARY RN (ADMINISTRATOR)
(781) 964-8299
Entity
Organization
Contact information
Practice address
3532 GOVERNOR DR, SAN DIEGO, CA 92122-2904
(858) 412-6560
(858) 412-3520
Mailing address
3532 GOVERNOR DR, SAN DIEGO, CA 92122-2904
(858) 412-6560
(858) 412-3520
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
374603337
CA
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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