Organization
MARK ONE CORPORATION
Active
Other names
Elness 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
812 W MAIN STREET, TURLOCK, CA 95380-4645
(209) 667-2828
(209) 667-4683
Mailing address
812 W MAIN STREET, TURLOCK, CA 95380-4645
(209) 667-2828
(209) 667-4683
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
030000263
CA
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05475G
—
CA
Enumeration date
12/01/2005
Last updated
10/05/2015
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