Provider Demographics
NPI:1710567102
Name:RANCHO DIGIUS LLC
Entity Type:Organization
Organization Name:RANCHO DIGIUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZAHRA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIGIUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-717-0346
Mailing Address - Street 1:2710 VIA DE LA VALLE STE B280
Mailing Address - Street 2:
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-1935
Mailing Address - Country:US
Mailing Address - Phone:858-717-0346
Mailing Address - Fax:
Practice Address - Street 1:2445 BROADWAY
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92102-2021
Practice Address - Country:US
Practice Address - Phone:619-468-5700
Practice Address - Fax:619-468-5701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-10
Last Update Date:2021-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home