Healthcare Provider Details

I. General information

NPI: 1528498359
Provider Name (Legal Business Name): RIGHT CHOICE SENIOR LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2013
Last Update Date: 11/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4949 MOUNT LONGS DR
SAN DIEGO CA
92117-3054
US

IV. Provider business mailing address

6354 CASCADE ST
SAN DIEGO CA
92122-2421
US

V. Phone/Fax

Practice location:
  • Phone: 619-246-2003
  • Fax:
Mailing address:
  • Phone: 619-246-2003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number374603297
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number374603297
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number374603297
License Number StateCA

VIII. Authorized Official

Name: TODD BROOKS
Title or Position: PRINCIPAL
Credential: ADMINISTRATOR
Phone: 619-246-2003