GHC OF LA MESA, LLC
Skilled Nursing Facility
La Mesa, California
Provider NPI: 1356345706
Organization Information:Organization Name: GHC OF LA MESA, LLC
Practice Location:
7800 PARKWAY DR LA MESA, CA 91942 US
Tel: 619-460-2330 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
7800 PARKWAY DR LA MESA, CA 91942 US
Tel: 619-460-2330 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | CA | 080000066 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
ZZT05114L | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin