| 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 |