Provider Demographics
NPI:1528817103
Name:VILLA ALEGRE LLC
Entity type:Organization
Organization Name:VILLA ALEGRE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNAH
Authorized Official - Middle Name:REY
Authorized Official - Last Name:LOCSIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-578-8788
Mailing Address - Street 1:1938 HIDDEN SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92019-3647
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1938 HIDDEN SPRINGS DR
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92019-3647
Practice Address - Country:US
Practice Address - Phone:619-431-1178
Practice Address - Fax:619-401-0888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-15
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home