Organization
LOTUS HEALTHCARE PARTNERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELYN BUNOAN MANALO RN, MSN FNP (ADMINISTRATOR)
(909) 396-7440
Entity
Organization
Contact information
Practice address
402 S PROSPECTORS RD STE G, DIAMOND BAR, CA 91765-1618
(909) 396-7440
(909) 396-7488
Mailing address
402 S PROSPECTORS RD STE G, DIAMOND BAR, CA 91765-1618
(909) 396-7440
(909) 396-7488
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
980000959
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA57636F
—
CA
01
—
HP0276
REGIONAL CENTER
CA
Enumeration date
07/15/2005
Last updated
11/06/2017
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