Organization
CARROLL MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIRGINIA MILLER (LICENSEE)
(661) 944-1085
Entity
Organization
Contact information
Practice address
38161 90TH ST E, LITTLEROCK, CA 93543-4012
(661) 944-1085
Mailing address
38161 90TH ST E, LITTLEROCK, CA 93543-4012
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
191221245
CA
Other
Enumeration date
07/04/2014
Last updated
07/04/2014
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