Organization
QUINCY MANOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. XAVIER COSTOLINO HOGAN SR. (OWNER)
(562) 450-7211
Entity
Organization
Contact information
Practice address
115 N CHESTER AVE, COMPTON, CA 90221-2701
(313) 106-3599
Mailing address
115 N CHESTER AVE, COMPTON, CA 90221-2701
(313) 106-3599
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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