Organization
MOUNT ZION, INC. DBA THE MANSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALICIA SANCHEZ (ADMISTRATOR)
(760) 727-1221
Entity
Organization
Contact information
Practice address
2354 WATSON WAY, VISTA, CA 92081-7925
(760) 727-1221
(760) 727-8886
Mailing address
2354 WATSON WAY, VISTA, CA 92081-7925
(760) 727-1221
(760) 727-8886
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
374601115
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311Z00000X
ASSISTED LIVING WAIVER PROGRAM
CA
Enumeration date
12/10/2014
Last updated
12/10/2014
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