Provider Demographics
NPI:1386678340
Name:TOGETHER WE GROW
Entity type:Organization
Organization Name:TOGETHER WE GROW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:RACCIATO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:858-751-0209
Mailing Address - Street 1:5055 VIEWRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-4313
Mailing Address - Country:US
Mailing Address - Phone:858-751-0209
Mailing Address - Fax:858-751-0204
Practice Address - Street 1:3815 MISSION AVE STE 107
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-1815
Practice Address - Country:US
Practice Address - Phone:760-757-6031
Practice Address - Fax:760-757-4813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3140N1450X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric