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1598584500
THE PROVIDENCE MANOR, LLC
PALMDALE, CA
NPI
1598584500
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Entity Type
Organization
Authorized Contact
MARY ANN NALANGAN DE LIMA
Managing Member
323-680-0844
Organization Subpart ?
No
Primary Taxonomy
310400000X Assisted Living Facility
Enumeration Date
2024-10-07
Last Update Date
2024-10-07
Business Address
THE PROVIDENCE MANOR, LLC
3434 TAMARISK DR
PALMDALE, CA 93551-2561
Phone number: 323-680-0844
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Mailing Address
THE PROVIDENCE MANOR, LLC
3434 TAMARISK DR
PALMDALE, CA 93551-2561
Phone number:
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