Organization Name: | CASA DE LAS CAMPANAS, INC. |
NPI Number: | 1770566978 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JILL SORENSON (EXECUTIVE DIRECTOR) |
Mailing Address: | 18655 W Bernardo Dr San Diego |
State: | CA US |
Postal Code: | 921273002 |
Phone Number: | 8584519152 |
Fax Number: | 8585929649 |
NPI Enumeration Date: | 11/22/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CA |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |