Edgemoor

NPI 1003001199 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1003001199
Enumeration Date 09/11/2007
Last Updated 09/11/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MYRNA CORPUZ MYRNA
Position RN
Phone (619) 956-2978
Fax
Practice Location
9065 EDGEMOOR DRIVE
EDGEMOOR HOSPITAL
SANTEE CA, 92071-3037, US
Phone (619) 956-2978
Fax
Business Location
9065 EDGEMOOR DR
SANTEE CA, 92071-3037, US
Phone
Fax
Toxanomy
Taxonomy Code 314000000X
License State California
License Number 461705
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According to our database, Edgemoor NPI is 1003001199, taxonomy code is 314000000X and license number is 461705, license state is located at California. Edgemoor physically located at 9065 Edgemoor Drive, Santee CA, 92071-3037. NPI Number 1033115704 has the healthcare provider type.

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1003001199 NPI number is provided on an as is basis without warranty of any kind. 1003001199 is maintained by the National Plan & Provider Enumeration System. The contents of Edgemoor are for informational purposes only.