# IMPERIAL MANOR SKILLED NURSING INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** IMPERIAL MANOR SKILLED NURSING INC
- **Other names:** Imperial Valley Rural Health Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912662883
- **Legal business name:** IMPERIAL MANOR SKILLED NURSING INC
- **Authorized official:** ESMERALDA DIAZ (CEO)
- **Authorized official phone:** (442) 283-3494

## Contact information

- **Practice address:** 290 MAIN ST, BRAWLEY, CA 92227-2351
- **Practice address phone:** (760) 550-1510
- **Practice address fax:** (877) 550-2018
- **Mailing address:** 290 MAIN ST, BRAWLEY, CA 92227-2351
- **Mailing address phone:** (760) 550-1510
- **Mailing address fax:** (877) 550-2018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/04/2021
- **Last updated:** 04/02/2025