Leucadia Beach Holdings LLC
Skilled Nursing Facility in Encinitas, CA. Organization (NPI-2).
NPI number1619704004
StatusActive
Last updated in NPPESNov 15, 2024
Details
- NPI
- 1619704004
- Entity type
- Organization (NPI-2)
- Legal business name
- Leucadia Beach Holdings LLC
- Organization subpart
- No
- Enumeration date
- Sep 18, 2024
- Certification date
- Nov 15, 2024
- Last updated
- Nov 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Practice location
900 Santa Fe DrEncinitas, CA 92024-3919
Phone 760-752-6423
Mailing address
16544 Franzen Farm RdSan Diego, CA 92127-2240
Phone 858-798-5700
Authorized official
Toby Tilford
Co-Ceo
8587748342
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