Organization
JACOB HEALTH CARE CENTER LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB GRAFF (P)
(310) 286-3074
Entity
Organization
Contact information
Practice address
4075 54TH ST, SAN DIEGO, CA 92105
(323) 556-0040
(323) 556-0048
Mailing address
4075 54TH ST, SAN DIEGO, CA 92105-2301
(323) 556-0040
(323) 556-0048
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
090000093
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT055508G
—
CA
Enumeration date
10/28/2005
Last updated
07/25/2018
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