DIVINE LIGHT CARE HOME LLC

LA MESA, CA
NPI1861260119
Entity TypeOrganization
Authorized ContactROGELIO DIAZ
Licensee
619-769-4545
Organization Subpart ?No
Primary Taxonomy310400000X Assisted Living Facility
Enumeration Date2023-12-15
Last Update Date2023-12-15
Business Address
DIVINE LIGHT CARE HOME LLC
5105 BANCROFT DR
LA MESA, CA 91941-4204
Phone number: 619-769-4545
Mailing Address
DIVINE LIGHT CARE HOME LLC
5105 BANCROFT DR
LA MESA, CA 91941-4204
Phone number: 619-769-4545
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