Healthcare Provider Details

I. General information

NPI: 1366438129
Provider Name (Legal Business Name): MARLORA INVESTMENTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 E ANAHEIM ST
LONG BEACH CA
90804-4004
US

IV. Provider business mailing address

3801 E ANAHEIM ST
LONG BEACH CA
90804-4004
US

V. Phone/Fax

Practice location:
  • Phone: 562-494-3311
  • Fax: 562-961-5566
Mailing address:
  • Phone: 562-494-3311
  • Fax: 562-961-5566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateCA

VIII. Authorized Official

Name: MS. MARILYN A HAUSER
Title or Position: ADMINISTRATOR
Credential:
Phone: 562-494-3311