Organization
CAPERNAUM INC.
Active
Other names
Provedentis Dei Care Home I
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VANNI MARASIGAN (ADMINISTRATOR)
(661) 496-4380
Entity
Organization
Contact information
Practice address
207 RIESLING VINES ST, BAKERSFIELD, CA 93314-4737
(661) 829-5862
Mailing address
12703 EVERSHAM DR, BAKERSFIELD, CA 93311-8593
(661) 496-4380
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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