# MARK ONE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ha-le Aloha Convalescent Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770567984
- **Authorized official:** MR. MANEESH BANSAL M.D. (CEO)
- **Authorized official phone:** (562) 924-9618

## Contact information

- **Practice address:** 1711 RICHLAND AVENUE, CERES, CA 95381-1129
- **Practice address phone:** (209) 537-4581
- **Practice address fax:** (209) 537-0035
- **Mailing address:** 1711 RICHLAND AVENUE, CERES, CA 95381-1129
- **Mailing address phone:** (209) 537-4581
- **Mailing address fax:** (209) 537-0035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 030000195 | CA | — |
| 314000000X | Skilled Nursing Facility | — | CA | Yes |

## Other

- **Enumeration date:** 12/01/2005
- **Last updated:** 10/06/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZR05935H | — | CA |
