Organization
ADELANTO CARE MANOR INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLIVER JALDO TANGUILAN (ADMINISTRATOR/ VP)
(657) 282-2943
Entity
Organization
Contact information
Practice address
11653 OXFORD CT, ADELANTO, CA 92301-3697
(442) 249-1243
Mailing address
11653 OXFORD CT, ADELANTO, CA 92301-3697
(442) 249-1243
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
365530406
DEPARTMENT OF SOCIAL SERVICES
CA
Enumeration date
04/13/2026
Last updated
04/13/2026
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