Organization
HAMPTONMANOR,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY P GINES (LICENSEE/ADMINISTRATOR)
(619) 261-2988
Entity
Organization
Contact information
Practice address
3546 PONDEROSA DR, OCEANSIDE, CA 92058-1613
(619) 261-2988
Mailing address
3546 PONDEROSA DR, OCEANSIDE, CA 92058-1613
(619) 261-2988
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
RCFE374603181
CA
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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