Carroll Manor

NPI 1184030629 - Custodial Care Facility - 311ZA0620X

NPI Details
NPI 1184030629
Enumeration Date 07/04/2014
Last Updated 07/04/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name VIRGINIA VIRGINIA
Position LICENSEE
Phone (661) 944-1085
Fax
Practice Location
38161 90TH ST E
LITTLEROCK CA, 93543-4012, US
Phone (661) 944-1085
Fax
Business Location
38161 90TH ST E
LITTLEROCK CA, 93543-4012, US
Phone
Fax
Toxanomy
Taxonomy Code 311ZA0620X
License State California
License Number 191221245
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According to our database, Carroll Manor NPI is 1184030629, taxonomy code is 311ZA0620X and license number is 191221245, license state is located at California. Carroll Manor physically located at 38161 90th St E, Littlerock CA, 93543-4012. NPI Number 1033115704 has the healthcare provider type.

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1184030629 NPI number is provided on an as is basis without warranty of any kind. 1184030629 is maintained by the National Plan & Provider Enumeration System. The contents of Carroll Manor are for informational purposes only.