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Organization

MARSHA'S MANOR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OLIVER JONES JR. (OWNER)
(909) 987-7047
Entity
Organization

Contact information

Practice address
14572 NEVADA CT, FONTANA, CA 92336-0808
(909) 987-7047
(909) 350-1709
Mailing address
14572 NEVADA CT, FONTANA, CA 92336-0808
(909) 987-7047
(909) 350-1709

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
366410296
CA

Other

Enumeration date
05/02/2011
Last updated
05/02/2011
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