# RAMONA MANOR CONVALESCENT HOSPITAL

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

## Provider details

- **NPI number:** 1619294899
- **Authorized official:** MR. MARK MILLER (ADMINISTRATOR)
- **Authorized official phone:** (951) 652-0011

## Contact information

- **Practice address:** 485 W JOHNSTON AVE, HEMET, CA 92543-7012
- **Practice address phone:** (951) 652-0011
- **Practice address fax:** (951) 658-1457
- **Mailing address:** 485 W JOHNSTON AVE, HEMET, CA 92543-7012
- **Mailing address phone:** (951) 652-0011
- **Mailing address fax:** (951) 658-1457

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 250000190 | CA | Yes |

## Other

- **Enumeration date:** 04/27/2010
- **Last updated:** 04/27/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 056214 | — | CA |