Organization
PACIFICA PINEHURST LLC
Active
Other names
Pacifica Senior Living Pinehurst
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK ISRANI (MANAGING PARTNER)
(619) 296-9000
Entity
Organization
Contact information
Practice address
208 S DIVISION ST, PINEHURST, ID 83850-8700
(208) 682-9170
Mailing address
1775 HANCOCK ST, SUITE 200, SAN DIEGO, CA 92110-2034
(619) 296-9000
(619) 296-9090
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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