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General NPI Number Information
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NPI Number | 1841126414
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Entity Type | Organization
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Legal Business Name | OAK HILLS MANOR, LLC
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Dates
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Enumeration Date | 06/22/2026
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Last Update Date | 06/22/2026
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Provider Practice Location Address
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Address Line | 9928 DESMOND DR
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City | OAK HILLS
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State | CA
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Zip | 92344-0931
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Country | US
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Telephone | 909-838-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 2151 E CONVENTION CENTER WAY STE 222
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City | ONTARIO
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State | CA
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Zip | 91764-5496
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Country | US
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Telephone | 909-354-8021
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Fax |
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Authorized Official
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Title or Position | MEMBER / ADMINISTRATOR
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Name | MR. JAMES H ERWIN
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Credential |
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Telephone | 909-838-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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