Provider Demographics
NPI:1952608960
Name:MONTECITO RETIREMENT ASSOCIATION
Entity Type:Organization
Organization Name:MONTECITO RETIREMENT ASSOCIATION
Other - Org Name:CASA DORINDA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSOCIATE DIRECTOR, HEALTH SERVICE
Authorized Official - Prefix:
Authorized Official - First Name:VICKY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MACGREGOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-969-8006
Mailing Address - Street 1:300 HOT SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93108-2037
Mailing Address - Country:US
Mailing Address - Phone:805-969-8011
Mailing Address - Fax:
Practice Address - Street 1:300 HOT SPRINGS RD
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93108-2037
Practice Address - Country:US
Practice Address - Phone:805-969-8011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-28
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service