Organization
CLUB RANCHO MANOR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEROME DELA CRUZ VIRAY (LICENSEE)
(818) 332-6150
Entity
Organization
Contact information
Practice address
3618 CLUB RANCHO DR, PALMDALE, CA 93551-5652
(818) 332-6150
Mailing address
1716 ERRINGER RD STE 106, SIMI VALLEY, CA 93065-6527
(818) 332-6150
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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