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Rady Children's Hospital - San Diego
Nursing Facility/Intermediate Care Facility in San Diego, California
NPI 1780756411

Rady Children's Hospital - San Diego is a Nursing Facility/Intermediate Care Facility based in San Diego, CA. Rady Children's Hospital - San Diego practices in San Diego, CA. The NPI Number for Rady Children's Hospital - San Diego is 1780756411 and holds a License No. 090000644 (California).

The current practice location address for Rady Children's Hospital - San Diego is 3453 Aveley Pl, San Diego, CA and can be reached out via phone at 858-541-2646 and via fax at 858-966-8558.

Location: 3453 Aveley Pl, San Diego, CA, 92123-2707
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780756411
Provider Name
Rady Children's Hospital - San Diego
Credential
Provider Entity Type
Organization
Address
3453 Aveley Pl, San Diego, CA, 92123-2707
Phone Number
858-541-2646
Fax Number
858-966-8558
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC80295F 05 CA
institution
Provider Business Practice Location Address Details
Address
3453 Aveley Pl
City
San Diego
State
California
Zip
92111-4727
Phone Number
858-541-2646
Fax Number
858-966-8558
person
Provider Business Mailing Address Details
Address
3453 Aveley Pl
City
San Diego
State
California
Zip
92111-4727
Phone Number
858-541-2646
Fax Number
858-966-8558
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
090000644 (California)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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