Organization
HAMNER CONGREGATE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLEY S VANNOY OWNER (CEO/OWNER)
(951) 847-5476
Entity
Organization
Contact information
Practice address
7121 MACKINAW CT, EASTVALE, CA 91752-1492
(951) 847-5476
(951) 363-3200
Mailing address
7056 ARCHIBALD AVE STE 102-322, EASTVALE, CA 92880-8713
(951) 847-5476
(951) 363-3200
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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