# MARCELA'S HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447069224
- **Authorized official:** ASHLEY CARBAJAL REGISTERED NURSE (OWNER/DIRECTOR OF NURSING)
- **Authorized official phone:** (415) 713-9267

## Contact information

- **Practice address:** 1969 N. LILAC AVENUE, RIALTO, CA 92376-2377
- **Practice address phone:** (415) 713-9267
- **Mailing address:** 2120 S STATE COLLEGE BLVD APT 2041, ANAHEIM, CA 92806-6218
- **Mailing address phone:** (415) 713-9267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/06/2025
- **Last updated:** 01/06/2025