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Organization
MARK ONE CORPORATION
Active
Organization
MARK ONE CORPORATION
Active
Other names
Elness 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
812 W MAIN STREET, TURLOCK, CA 95380-4645
(209) 667-2828
(209) 667-4683
Mailing address
812 W MAIN STREET, TURLOCK, CA 95380-4645
(209) 667-2828
(209) 667-4683
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
030000263
CA
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05475G
—
CA
Enumeration date
12/01/2005
Last updated
10/05/2015
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