Organization
JACOB HEALTH CARE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA KAUFFMAN (VICE PRESIDENT)
(619) 582-5168
Entity
Organization
Contact information
Practice address
4075 54TH ST, SAN DIEGO, CA 92105-2301
(619) 582-5168
Mailing address
4075 54TH ST, SAN DIEGO, CA 92105-2301
(619) 582-5168
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
CA
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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