Provider Demographics
NPI:1063681690
Name:VALLEY VIEW SANITARIUM & REST HOME
Entity Type:Organization
Organization Name:VALLEY VIEW SANITARIUM & REST HOME
Other - Org Name:FAIRWAY COURT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:RETTINGHAUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-267-8400
Mailing Address - Street 1:PO BOX 90
Mailing Address - Street 2:
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91951-0090
Mailing Address - Country:US
Mailing Address - Phone:619-267-8400
Mailing Address - Fax:619-267-0892
Practice Address - Street 1:833 FAIRWAY CT
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91911-1424
Practice Address - Country:US
Practice Address - Phone:619-691-0479
Practice Address - Fax:619-691-0479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-28
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility