Organization
MARCELA'S HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY CARBAJAL REGISTERED NURSE (OWNER/DIRECTOR OF NURSING)
(415) 713-9267
Entity
Organization
Contact information
Practice address
1969 N. LILAC AVENUE, RIALTO, CA 92376-2377
(415) 713-9267
Mailing address
2120 S STATE COLLEGE BLVD APT 2041, ANAHEIM, CA 92806-6218
(415) 713-9267
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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