Organization
BIRCH HOLDINGS, LLC
Active
Other names
University Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MITCHELL (SECRETARY)
(385) 988-3319
Entity
Organization
Contact information
Practice address
5602 UNIVERSITY AVE, SAN DIEGO, CA 92105-2308
(619) 583-1993
(619) 583-1365
Mailing address
262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975
(619) 583-1365
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
090000037
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05328H
—
CA
Enumeration date
07/02/2006
Last updated
08/19/2024
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