Healthcare Provider Details

I. General information

NPI: 1194657536
Provider Name (Legal Business Name): P&P HOMES 3
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 S 58TH ST
SAN DIEGO CA
92114-4001
US

IV. Provider business mailing address

7452 ROWENA ST
SAN DIEGO CA
92119-1241
US

V. Phone/Fax

Practice location:
  • Phone: 619-723-9531
  • Fax:
Mailing address:
  • Phone: 619-723-9531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. PRECY TANG HULBURD
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 858-366-5062