| NPI | 1972574507 |
|---|---|
| Other Name | VI AT LA JOLLA VILLAGE |
| Entity Type | Organization |
| Authorized Contact | TOMEK J KOSZYLKO Counsel 312-803-8443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 080000751) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2025-10-24 |