NPI 1003600800

Quincy Manor LLC

Organisation Nursing Facility/Intermediate Care Facility Compton, CA

Practice location

Address: 115 N Chester Ave, Compton, CA 90221-2701
Phone: (313) 106-3599

Authorised official

Name: Xavier Costolino Hogan
Title: Owner
Phone: (562) 450-7211

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X

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Registry record

NPI: 1003600800
Entity type: Organization
NPI issued: 7 Apr 2025
Record last updated: 7 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.