Organization · Type 2 NPI
Pacifica Pinehurst LLC
Assisted Living Facility · Pinehurst, ID
NPI number
1992130447
Active
Practice location
208 S Division St
Pinehurst, ID 83850-8700
Mailing address
1775 Hancock St, Suite 200
San Diego, CA 92110-2034
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None 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.
About NPI 1992130447
Pacifica Pinehurst LLC's National Provider Identifier is 1992130447, issued on Sep 3, 2013. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Pinehurst, ID. The record was last updated on Sep 3, 2013.