Healthcare Provider Details

I. General information

NPI: 1881863504
Provider Name (Legal Business Name): VALLEY VIEW SANITARIUM & REST HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2008
Last Update Date: 02/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 LAURISTON DR
SAN DIEGO CA
92154-3325
US

IV. Provider business mailing address

PO BOX 90
NATIONAL CITY CA
91951-0090
US

V. Phone/Fax

Practice location:
  • Phone: 619-429-5960
  • Fax: 619-429-5960
Mailing address:
  • Phone: 619-267-8400
  • Fax: 619-267-0892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. JUANITA RETTINGHAUS
Title or Position: EXECUTIVE ADMINISTATOR
Credential:
Phone: 619-267-8400