Organization
MANTECA COMMUNITY HEALTHCARE LLC
Active
Other names
Manteca Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MITCHELL (SECRETARY)
(385) 988-3319
Entity
Organization
Contact information
Practice address
1130 EMPIRE AVE, MANTECA, CA 95336-8107
(209) 239-6785
Mailing address
262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
08/20/2024
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