KOA HOLDINGS, LLC
Nursing at Madison Ave, El Cajon, CA

License number
California 090000071
Category
Nursing
Type
Skilled Nursing Facility
Owner
Name: MARK BALLIF
Title: MANAGING MEMBER
Phone: (760) 471-0388
Address
Address 2
1391 E Madison Ave, El Cajon, CA 92021
100 E San Marcos Blvd SUITE 200, San Marcos, CA 92069
National Provider ID: 1013953199
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about KOA HOLDINGS, LLC at bizstanding.com

Koa Holdings, LLC

San Marcos, CA  -  El Cajon, CA

Industry:
Operating A Skilled Nursing Facility Und
Registration:
Dec 5, 2005
Addresses:
100 E San Marcos Blvd, San Marcos, CA 92069
1391 E Madison Ave, El Cajon, CA 92021
State ID:
200534010108
Business type:
Domestic
Members:
Joe Alegre (Member),Toby Tilford (Member),Paul Hubbard Member, inactive,...
Agent:
Gary W. Sanders

Nursing licenses in California










Other Doctors licenses in California