Organization
MANOR CARE OF HEMET CA LLC
Active
Other names
ManorCare Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
1717 W STETSON AVE, HEMET, CA 92545-6882
(951) 925-9171
(951) 925-8186
Mailing address
333 N SUMMIT ST, TOLEDO, OH 43604-2615
(419) 252-5500
(877) 385-9446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
250000276
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447298138
—
CA
05
—
LTC55297F
—
CA
Enumeration date
06/03/2006
Last updated
02/11/2022
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