NPI | 1154073823 |
---|---|
Doing Business As | SEASIDE VILLA ASSISTED LIVING |
Entity Type | Organization |
Authorized Contact | KEVIN JAMES KAHNIS Cof 619-804-5875 |
Organization Subpart ? | No |
Primary Taxonomy | 376G00000X Nursing Home Administrator |
Enumeration Date | 2022-01-24 |
Last Update Date | 2022-01-25 |