Lucie's Shady Rest

Facility ID

834

Facility Street Address

7142 Bobhird

Facility City

San Diego

Facility State

CA

Facility County

San Diego

Facility Zip

92119

Facility Phone

(619) 741-2350

374602930

First Licensed

Nov 24 2009

Licensee

Lucie's Shady Rest, LLC

License Principal

Zachay, Gilbert

Street on License

7142 Bobhird

City on License

San Diego

State on License

CA

Zip on License

92119

(619) 741-2350

Organization Type

LLC

State Incorporated

CA

Corporate Number

200918010356

Status with CASOS

Active

CASOS Web Search Date

Nov 3 2015

License Owner ID

31913

Property Owner ID

Property Tax Info

TBD

Licensure Status

Licensed

CCLD Web Search Date

Licensed Capacity

4

Non-ambulatory Capacity

3

Hospice Waivers

No Information

Bedridden

1

Dementia Care

No Information

Review Date

2012-12-16 00:00:00
Document Research

Year of First Document

2016

Sponsor

AIS