Organization
MARK ONE CORPORATION
Active
Other names
Bel-Air Lodge Convalescent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANEESH BANSAL M.D. (CEO)
(562) 924-9618
Entity
Organization
Contact information
Practice address
180 STARR AVE, TURLOCK, CA 95380-3323
(209) 632-1075
(209) 667-4807
Mailing address
180 STARR AVE, TURLOCK, CA 95380-3323
(209) 632-1075
(209) 667-4807
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
030000141
CA
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR18019G
—
CA
Enumeration date
12/01/2005
Last updated
09/24/2015
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