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Organization
MANOR CARE OF FOUNTAIN VALLEY CA, LLC
Active
Organization
MANOR CARE OF FOUNTAIN VALLEY CA, LLC
Active
Other names
ManorCare Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
11680 WARNER AVE, FOUNTAIN VALLEY, CA 92708-2513
(714) 241-9800
(714) 966-1654
Mailing address
333 N SUMMIT ST, TOLEDO, OH 43604-2615
(419) 252-5500
(877) 385-9446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060000249
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336187228
—
CA
Enumeration date
06/03/2006
Last updated
02/11/2022
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