Quincy Manor LLC
NPI #1003600800 in Compton, California
Provider Information
- NPI Number
- 1003600800
- Entity Type
- Organization
- Organization Name
- Quincy Manor LLC
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Apr 7, 2025
- Last Updated
- Apr 7, 2025
Practice Location
- Address
- 115 N CHESTER AVE
- City
- Compton
- State
- California
- ZIP Code
- 90221-2701
- Phone
- (313) 106-3599
Authorized Official
- Name
- MR. XAVIER COSTOLINO HOGAN SR.
- Title
- OWNER
- Phone
- (562) 450-7211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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