Healthcare Provider Details

I. General information

NPI: 1679401848
Provider Name (Legal Business Name): TWIN OAKS MANOR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1719 MEDINAH RD APT B
SAN MARCOS CA
92069-1181
US

IV. Provider business mailing address

4479 BRISBANE WAY UNIT 2
OCEANSIDE CA
92058-0641
US

V. Phone/Fax

Practice location:
  • Phone: 760-829-0176
  • Fax: 619-872-0649
Mailing address:
  • Phone: 760-829-0974
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MISS JOCELYN NONO SANTOS
Title or Position: ADMINISTRATOR
Credential:
Phone: 760-829-0176