Organization
COUNTY OF SAN DIEGO
Active
Other names
EDGEMOOR HOSPITAL DPSNF
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER HEKIMIAN (ADMINISTRATOR)
(619) 596-5597
Entity
Organization
Contact information
Practice address
655 PARK CENTER DR, SANTEE, CA 92071-6957
(619) 596-5500
(619) 596-5584
Mailing address
655 PARK CENTER DR, SANTEE, CA 92071-6957
(619) 596-5500
(619) 596-5584
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05008F
—
CA
Enumeration date
01/23/2007
Last updated
04/29/2013
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