Healthcare Provider Details

I. General information

NPI: 1336236496
Provider Name (Legal Business Name): CARE WITH DIGNITY HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8060 FROST ST
SAN DIEGO CA
92123-2703
US

IV. Provider business mailing address

8060 FROST ST
SAN DIEGO CA
92123-2703
US

V. Phone/Fax

Practice location:
  • Phone: 858-275-4750
  • Fax: 858-278-8077
Mailing address:
  • Phone: 858-275-4750
  • Fax: 858-278-8077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateCA

VIII. Authorized Official

Name: MR. GARY D DEVOIR
Title or Position: PRESIDENT
Credential:
Phone: 858-278-4750