Provider Demographics
NPI:1689995045
Name:PREFERRED HEALTHCARE
Entity Type:Organization
Organization Name:PREFERRED HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:REITEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1800-787-6787
Mailing Address - Street 1:PO BOX 17860
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92177-7860
Mailing Address - Country:US
Mailing Address - Phone:180-078-7678
Mailing Address - Fax:800-787-6762
Practice Address - Street 1:4655 RUFFNER ST
Practice Address - Street 2:270
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-2275
Practice Address - Country:US
Practice Address - Phone:180-078-7678
Practice Address - Fax:800-787-6762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-18
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6912314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility