Organization
CALIFORNIA SPECIAL CARE CENTER
Active
Other names
Shea Family Care Grossmont
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY PATRICIA MILLER (CHIEF LEGAL COUNSEL)
(619) 441-8771
Entity
Organization
Contact information
Practice address
8787 CENTER DR, LA MESA, CA 91942-3034
(619) 460-4444
(619) 460-6341
Mailing address
8787 CENTER DR, LA MESA, CA 91942-3034
(619) 460-4444
(619) 460-6341
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
080000024
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05632G
—
CA
Enumeration date
08/14/2006
Last updated
02/07/2014
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