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Divine Light Care Home Llc
Assisted Living Facility in La Mesa, California
NPI 1861260119

Divine Light Care Home Llc is an Assisted Living Facility based in La Mesa, CA. Divine Light Care Home Llc practices in La Mesa, CA. The NPI Number for Divine Light Care Home Llc is 1861260119 and holds a License No. (California).

The current practice location address for Divine Light Care Home Llc is 5105 Bancroft Dr, La Mesa, CA and can be reached out via phone at 619-769-4545.

Location: 5105 Bancroft Dr, La Mesa, CA, 91941-4204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861260119
Provider Name
Divine Light Care Home Llc
Credential
Provider Entity Type
Organization
Address
5105 Bancroft Dr, La Mesa, CA, 91941-4204
Phone Number
619-769-4545
Fax Number
Provider Enumeration Date
12/15/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
5105 Bancroft Dr
City
La Mesa
State
California
Zip
91941-4204
Phone Number
619-769-4545
Fax Number
person
Provider Business Mailing Address Details
Address
5105 Bancroft Dr
City
La Mesa
State
California
Zip
91941-4204
Phone Number
619-769-4545
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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