Organization · Type 2 NPI

Divine Light Care Home LLC

Assisted Living Facility · La Mesa, CA

NPI number 1861260119 Active

Practice location

5105 Bancroft Dr
La Mesa, CA 91941-4204

Call (619) 769-4545 Map

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

Assisted Living Facility: 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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About NPI 1861260119

Divine Light Care Home LLC's National Provider Identifier is 1861260119, issued on Dec 15, 2023. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in La Mesa, CA. The record was last updated on Dec 15, 2023.