Organization
RAMONA MANOR CONVALESCENT HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK MILLER (ADMINISTRATOR)
(951) 652-0011
Entity
Organization
Contact information
Practice address
485 W JOHNSTON AVE, HEMET, CA 92543-7012
(951) 652-0011
(951) 658-1457
Mailing address
485 W JOHNSTON AVE, HEMET, CA 92543-7012
(951) 652-0011
(951) 658-1457
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
250000190
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056214
—
CA
Enumeration date
04/27/2010
Last updated
04/27/2010
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