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Organization

HEARTLAND MERCY CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AHMED QASIM (ADMINISTRATOR)
(650) 452-2554
Entity
Organization

Contact information

Practice address
178 PENDLETON RD, BANNING, CA 92220-2029
(650) 452-2554
Mailing address
178 PENDLETON RD, BANNING, CA 92220-2029
(650) 452-2554

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Enumeration date
04/28/2023
Last updated
04/28/2023
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