Organization · Type 2 NPI

Utah Lake Holdings LLC

Skilled Nursing Facility · San Diego, CA

NPI number 1326738345 Active

Practice location

4075 54th St
San Diego, CA 92105-2301

Call (858) 798-5700 Map

Mailing address

16544 Franzen Farm Rd
San Diego, CA 92127-2240

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1326738345

Utah Lake Holdings LLC's National Provider Identifier is 1326738345, issued on May 12, 2023. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in San Diego, CA. The record was last updated on May 12, 2023.