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
License: 
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
Phone on License: 
(619) 741-2350
Organization Type: 
LLC
State Incorporated: 
CA
Corporate Number: 
200918010356
Status with CASOS: 
Active
CASOS Web Search Date: 
July 18, 2014
Property Owner ID: 
Zachay, Gilbert & Lucie
Property Tax Info: 
TBD
Licensure Status: 
Licensed
Licensed Capacity: 
4
Non-ambulatory Capacity: 
3
Hospice Waivers: 
No Information
Bedridden: 
1
Dementia Care: 
No Information
Review Date: 
December 16, 2012
Document Research
Year of First Document: 
2009