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THE ARC OF SAN DIEGO NPI 1730361569


NPI Information

NPI: 1730361569
Provider Name: THE ARC OF SAN DIEGO

Doing Business As: TURLEY GROUP HOME

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
9075 CREEKFORD DRIVE
LAKESIDE, CA
ZIP 92040
Phone: (619) 685-1175
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THE ARC OF SAN DIEGO is an intermediate care facility mentally retarded in Lakeside, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. THE ARC OF SAN DIEGO NPI is 1730361569. The provider is registered as an organization entity type.
The provider Is Doing Business As Turley Group Home.

The provider's business location address is:

9075 CREEKFORD DRIVE
LAKESIDE, CA
ZIP 92040
Phone: (619) 685-1175
Fax: (619) 234-3759

The provider's authorized official is Joseph Tontodonato .
The authorized official title is Director Of Operations and has the following contact phone number (619) 685-1175.

The enumeration date for this NPI number is 12/4/2007 and was last updated on 7/27/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
105-G852MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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