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Organization
MARK ONE CORPORATION
Active
Organization
MARK ONE CORPORATION
Active
Other names
Ha-le Aloha Convalescent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANEESH BANSAL M.D. (CEO)
(562) 924-9618
Entity
Organization
Contact information
Practice address
1711 RICHLAND AVENUE, CERES, CA 95381-1129
(209) 537-4581
(209) 537-0035
Mailing address
1711 RICHLAND AVENUE, CERES, CA 95381-1129
(209) 537-4581
(209) 537-0035
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
030000195
CA
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05935H
—
CA
Enumeration date
12/01/2005
Last updated
10/06/2015
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